Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.62 / $3,908.01 / $13,841.56	Facility		$340.62	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $235.28 / $235.28 / $255.47	Facility	54	$235.28	$235.28	$255.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $324.42 / $1,610.47	Professional		$291.82	$324.42	$1,610.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,350.61 / $4,406.97 / $8,524.51	Facility		$3,350.61	$4,406.97	$8,524.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.97 / $543.54 / $740.85	Professional		$325.97	$543.54	$740.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $193.40	Facility		$193.40	$193.40	$193.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.76 / $789.39 / $1,058.30	Professional		$475.76	$789.39	$1,058.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $562.02 / $773.59	Facility		$313.70	$562.02	$773.59
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,120.06 / $1,120.06 / $1,120.06	Facility	54	$1,120.06	$1,120.06	$1,120.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.99 / $724.47 / $2,563.67	Professional		$433.99	$724.47	$2,563.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $740.55 / $1,058.30	Facility		$214.08	$740.55	$1,058.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $769.28 / $1,048.05	Professional		$560.00	$769.28	$1,048.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.65 / $648.01 / $773.16	Professional		$371.65	$648.01	$773.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.99 / $724.47 / $934.75	Professional		$433.99	$724.47	$934.75