Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,083.97 / $8,477.27 / $19,276.96	Facility		$4,083.97	$8,477.27	$19,276.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $1,155.41 / $1,594.75	Professional		$164.75	$1,155.41	$1,594.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $909.86 / $934.25 / $1,401.37	Professional	50	$909.86	$934.25	$1,401.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,232.51 / $1,670.37 / $3,135.72	Facility		$1,232.51	$1,670.37	$3,135.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $394.19 / $3,141.11	Professional		$173.44	$394.19	$3,141.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $3,094.37 / $5,468.75	Professional		$399.68	$3,094.37	$5,468.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.06 / $2,711.08 / $8,617.27	Facility		$210.06	$2,711.08	$8,617.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,457.39 / $4,298.46 / $11,062.39	Professional		$2,457.39	$4,298.46	$11,062.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $3,094.37 / $5,405.49	Facility		$413.75	$3,094.37	$5,405.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $393.73 / $3,481.79 / $5,110.89	Professional		$393.73	$3,481.79	$5,110.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $899.10 / $5,173.30	Professional		$5.00	$899.10	$5,173.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,441.00 / $8,816.00	Facility		$5,341.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,493.01 / $4,150.85 / $5,600.79	Professional		$2,493.01	$4,150.85	$5,600.79