Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.06 / $3,795.64 / $13,841.56	Facility		$272.06	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $188.94 / $188.94 / $206.81	Facility	54	$188.94	$188.94	$206.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $264.83 / $1,291.43	Professional		$236.65	$264.83	$1,291.43
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 $263.88 / $436.26 / $599.73	Professional		$263.88	$436.26	$599.73
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 $388.23 / $640.83 / $841.55	Professional		$388.23	$640.83	$841.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.92 / $454.97 / $656.14	Facility		$251.92	$454.97	$656.14
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $900.74 / $900.74 / $900.74	Facility	54	$900.74	$900.74	$900.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.60 / $589.59 / $2,056.64	Professional		$352.60	$589.59	$2,056.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $618.64 / $841.55	Facility		$214.08	$618.64	$841.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $618.64 / $829.06	Professional		$470.00	$618.64	$829.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $523.87 / $627.65	Professional		$300.45	$523.87	$627.65
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 $352.60 / $589.59 / $759.44	Professional		$352.60	$589.59	$759.44