Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.22 / $3,908.01 / $13,841.56	Facility		$331.22	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.03 / $221.03 / $248.42	Facility	54	$221.03	$221.03	$248.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $331.22 / $1,643.80	Professional		$294.70	$331.22	$1,643.80
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 $312.73 / $524.76 / $710.75	Professional		$312.73	$524.76	$710.75
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 $454.37 / $753.39 / $983.41	Professional		$454.37	$753.39	$983.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.10 / $545.21 / $722.19	Facility		$298.10	$545.21	$722.19
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,053.30 / $1,053.30 / $1,053.30	Facility	54	$1,053.30	$1,053.30	$1,053.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.93 / $686.67 / $2,411.04	Professional		$418.93	$686.67	$2,411.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $697.50 / $983.41	Facility		$214.08	$697.50	$983.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $712.33 / $981.73	Professional		$514.04	$712.33	$981.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $360.01 / $627.71 / $763.55	Professional		$360.01	$627.71	$763.55
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 $418.93 / $670.47 / $894.72	Professional		$418.93	$670.47	$894.72