Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.24 / $7,119.04 / $20,928.72	Facility		$288.24	$7,119.04	$20,928.72
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.18 / $216.18 / $233.58	Facility	54	$216.18	$216.18	$233.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.24 / $311.44 / $1,592.32	Professional		$288.24	$311.44	$1,592.32
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 $298.05 / $497.43 / $677.38	Professional		$298.05	$497.43	$677.38
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 $428.31 / $714.03 / $959.42	Professional		$428.31	$714.03	$959.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.24 / $513.88 / $722.54	Facility		$288.24	$513.88	$722.54
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,026.83 / $1,026.83 / $1,026.83	Facility	54	$1,026.83	$1,026.83	$1,026.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $394.75 / $651.49 / $2,345.92	Professional		$394.75	$651.49	$2,345.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $681.66 / $957.22	Facility		$212.73	$681.66	$957.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $705.24 / $957.22	Professional		$522.00	$705.24	$957.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.38 / $603.94 / $705.84	Professional		$346.38	$603.94	$705.84
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 $394.75 / $651.49 / $848.88	Professional		$394.75	$651.49	$848.88