Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $5,463.36 / $13,841.56	Facility		$1,653.00	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,477.47 / $3,477.47 / $3,477.47	Facility	50	$3,477.47	$3,477.47	$3,477.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $492.04 / $935.84	Professional		$165.63	$492.04	$935.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.25 / $298.25 / $298.25	Professional	50	$298.25	$298.25	$298.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,503.12 / $7,458.15 / $14,000.85	Facility		$5,503.12	$7,458.15	$14,000.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.69 / $397.05 / $985.47	Professional		$174.69	$397.05	$985.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.79 / $970.80 / $1,451.60	Professional		$402.79	$970.80	$1,451.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.18 / $627.35 / $5,457.92	Facility		$211.18	$627.35	$5,457.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $668.62 / $1,200.13 / $1,974.11	Professional		$668.62	$1,200.13	$1,974.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $414.35 / $1,113.53 / $2,860.34	Facility		$414.35	$1,113.53	$2,860.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.19 / $941.47 / $1,444.37	Professional		$395.19	$941.47	$1,444.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $582.00 / $1,449.80	Professional		$6.00	$582.00	$1,449.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.86 / $1,129.39 / $1,270.94	Professional		$770.86	$1,129.39	$1,270.94