Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.36 / $3,908.01 / $13,841.56	Facility		$249.36	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.80 / $173.80 / $187.02	Facility	54	$173.80	$173.80	$187.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $249.36 / $1,179.83	Professional		$215.47	$249.36	$1,179.83
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 $238.63 / $402.54 / $542.36	Professional		$238.63	$402.54	$542.36
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 $339.89 / $576.91 / $773.44	Professional		$339.89	$576.91	$773.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.73 / $411.44 / $627.26	Facility		$231.73	$411.44	$627.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $833.97 / $833.97 / $833.97	Facility	54	$833.97	$833.97	$833.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.10 / $530.59 / $1,896.00	Professional		$317.10	$530.59	$1,896.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $546.69 / $768.57	Facility		$212.73	$546.69	$768.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $572.78 / $768.57	Professional		$426.00	$572.78	$768.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $481.87 / $563.00	Professional		$276.37	$481.87	$563.00
United Facility/Professional Facility Modifier Low / Median / High Price $298.62 / $407.62 / $4,317.00	Facility		$298.62	$407.62	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.10 / $524.42 / $682.98	Professional		$317.10	$524.42	$682.98