Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $4,518.60 / $13,841.56	Facility		$1,060.50	$4,518.60	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,745.82 / $1,745.82 / $1,745.82	Facility	50	$1,745.82	$1,745.82	$1,745.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $680.19 / $2,373.16	Professional		$184.64	$680.19	$2,373.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $538.85 / $538.85 / $538.85	Professional	50	$538.85	$538.85	$538.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,153.73 / $15,116.17 / $28,376.91	Facility		$11,153.73	$15,116.17	$28,376.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $670.79 / $2,894.90	Professional		$295.14	$670.79	$2,894.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.09 / $1,846.93 / $4,227.45	Professional		$585.09	$1,846.93	$4,227.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.96 / $2,337.04 / $3,608.24	Facility		$416.96	$2,337.04	$3,608.24
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,888.33 / $1,888.33 / $1,888.33	Facility	50	$1,888.33	$1,888.33	$1,888.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,850.93 / $3,107.56 / $11,504.00	Professional		$1,850.93	$3,107.56	$11,504.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $4,107.04 / $4,107.04 / $4,107.04	Professional	50	$4,107.04	$4,107.04	$4,107.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $711.07 / $2,880.62 / $4,227.45	Facility		$711.07	$2,880.62	$4,227.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $704.46 / $2,738.59 / $4,119.39	Professional		$704.46	$2,738.59	$4,119.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.38 / $612.27 / $3,341.42	Professional		$318.38	$612.27	$3,341.42
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 $1,850.93 / $3,160.81 / $3,679.66	Professional		$1,850.93	$3,160.81	$3,679.66