Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.00 / $2,946.56 / $11,995.87	Facility		$1,545.00	$2,946.56	$11,995.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.23 / $28.23 / $161.02	Facility	53	$28.23	$28.23	$161.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $275.00 / $1,698.72	Professional		$141.13	$275.00	$1,698.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,064.08 / $4,152.62 / $7,795.52	Facility		$3,064.08	$4,152.62	$7,795.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $334.93 / $1,585.68	Professional		$147.37	$334.93	$1,585.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $1,562.06 / $2,583.48	Professional		$333.45	$1,562.06	$2,583.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.94 / $1,026.48 / $2,398.48	Facility		$179.94	$1,026.48	$2,398.48
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $135.34 / $135.34 / $135.34	Facility	53	$135.34	$135.34	$135.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,285.88 / $2,046.97 / $2,839.84	Professional		$1,285.88	$2,046.97	$2,839.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $370.12 / $1,562.06 / $2,583.48	Facility		$370.12	$1,562.06	$2,583.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.12 / $1,562.06 / $2,583.48	Professional		$370.12	$1,562.06	$2,583.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $2,433.69	Professional		$6.00	$6.00	$2,433.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,482.49 / $2,046.97 / $2,308.07	Professional		$1,482.49	$2,046.97	$2,308.07