Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,801.89 / $10,964.78	Facility		$575.44	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $575.44	Professional		$85.11	$213.80	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $7,943.28	Facility		$3,090.30	$4,073.80	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $501.19	Professional		$100.00	$213.80	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $316.23 / $660.69	Professional		$112.20	$316.23	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $251.19 / $588.84	Facility		$85.11	$251.19	$588.84
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $562.34 / $1,949.84	Professional		$275.42	$562.34	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $489.78 / $660.69	Professional		$199.53	$489.78	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $380.19 / $602.56	Professional		$147.91	$380.19	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $354.81 / $724.44	Professional		$5.01	$354.81	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,162.28 / $8,128.31	Facility		$1,122.02	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $602.56	Professional		$114.82	$251.19	$602.56