Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.25 / $3,908.01 / $13,841.56	Facility		$360.25	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $247.22 / $247.22 / $270.19	Facility	54	$247.22	$247.22	$270.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $360.25 / $1,748.00	Professional		$321.75	$360.25	$1,748.00
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 $344.75 / $569.97 / $783.53	Professional		$344.75	$569.97	$783.53
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 $521.28 / $837.53 / $1,123.14	Professional		$521.28	$837.53	$1,123.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.62 / $594.41 / $907.35	Facility		$329.62	$594.41	$907.35
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.11 / $1,174.11 / $1,174.11	Facility	54	$1,174.11	$1,174.11	$1,174.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $459.85 / $769.67 / $2,688.88	Professional		$459.85	$769.67	$2,688.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $788.00 / $1,110.00	Facility		$214.08	$788.00	$1,110.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $806.40 / $1,101.22	Professional		$629.00	$806.40	$1,101.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.98 / $667.75 / $808.62	Professional		$382.98	$667.75	$808.62
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 $459.85 / $769.67 / $990.44	Professional		$459.85	$769.67	$990.44