Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $3,908.01 / $13,841.56	Facility		$470.15	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.48 / $315.48 / $352.61	Facility	54	$315.48	$315.48	$352.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.64 / $470.15 / $2,369.48	Professional		$420.64	$470.15	$2,369.48
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 $442.83 / $740.99 / $1,006.45	Professional		$442.83	$740.99	$1,006.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.44 / $1,257.44 / $1,257.44	Facility		$1,257.44	$1,257.44	$1,257.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $1,100.13 / $1,423.27	Professional		$726.00	$1,100.13	$1,423.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $778.18 / $1,313.72	Facility		$423.14	$778.18	$1,313.72
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,496.25 / $1,496.25 / $1,496.25	Facility	54	$1,496.25	$1,496.25	$1,496.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.42 / $1,011.90 / $3,425.20	Professional		$603.42	$1,011.90	$3,425.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.00 / $1,149.19 / $1,592.75	Facility		$898.00	$1,149.19	$1,592.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $835.07 / $1,027.64 / $1,417.22	Professional		$835.07	$1,027.64	$1,417.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.95 / $875.20 / $1,079.60	Professional		$501.95	$875.20	$1,079.60
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 $603.42 / $1,015.07 / $1,299.70	Professional		$603.42	$1,015.07	$1,299.70