Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.15 / $5,463.36 / $13,841.56	Facility		$1,506.15	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.89 / $52.89 / $80.12	Facility	52	$52.89	$52.89	$80.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $160.22 / $802.00	Professional		$105.78	$160.22	$802.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,616.14 / $6,256.05 / $11,744.20	Facility		$4,616.14	$6,256.05	$11,744.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $213.31 / $325.20	Professional		$112.44	$213.31	$325.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $352.48 / $489.86	Professional		$253.28	$352.48	$489.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.87 / $272.39 / $945.28	Facility		$134.87	$272.39	$945.28
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $421.46 / $421.46 / $421.46	Facility	52	$421.46	$421.46	$421.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $397.39 / $1,280.96	Professional		$224.60	$397.39	$1,280.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.28 / $372.62 / $556.54	Facility		$253.28	$372.62	$556.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $342.72 / $464.78	Professional		$250.53	$342.72	$464.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $282.89 / $455.60	Professional		$6.00	$282.89	$455.60
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 $224.60 / $377.52 / $413.87	Professional		$224.60	$377.52	$413.87