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 Professional Modifier Low / Median / High Price $104.99 / $1,219.10 / $3,199.20	Professional		$104.99	$1,219.10	$3,199.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.81 / $894.14 / $1,729.56	Facility		$679.81	$894.14	$1,729.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $250.81 / $2,393.84	Professional		$110.36	$250.81	$2,393.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $1,408.75 / $4,141.31	Professional		$250.87	$1,408.75	$4,141.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.86 / $1,554.37 / $3,047.38	Facility		$133.86	$1,554.37	$3,047.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,828.09 / $3,121.81 / $4,581.68	Professional		$1,828.09	$3,121.81	$4,581.68
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $3,328.40 / $3,328.40 / $3,328.40	Professional	50	$3,328.40	$3,328.40	$3,328.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.18 / $1,986.54 / $3,546.53	Facility		$269.18	$1,986.54	$3,546.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $2,662.27 / $4,033.55	Professional		$257.64	$2,662.27	$4,033.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $228.60 / $2,433.64	Professional		$118.87	$228.60	$2,433.64
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 $1,828.09 / $3,121.81 / $3,937.42	Professional		$1,828.09	$3,121.81	$3,937.42