Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,548.13 / $8,511.38	Facility		$223.87	$3,548.13	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $630.96	Professional		$107.15	$199.53	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	50	$181.97	$181.97	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $9,120.11	Facility		$3,548.13	$4,677.35	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $346.74	Professional		$128.82	$204.17	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $331.13 / $549.54	Professional		$107.15	$331.13	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $257.04 / $1,230.27	Facility		$131.83	$257.04	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $1,380.38	Professional		$239.88	$363.08	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $524.81	Professional		$239.88	$407.38	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $407.38	Professional		$245.47	$245.47	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $158.49 / $501.19	Professional		$5.01	$158.49	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,230.27 / $4,466.84	Facility		$295.12	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $436.52	Professional		$141.25	$251.19	$436.52