Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.15 / $3,908.01 / $13,841.56	Facility		$1,506.15	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.75 / $53.75 / $230.41	Facility	52	$53.75	$53.75	$230.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $273.35 / $526.69	Professional		$107.49	$273.35	$526.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,665.88 / $3,864.78 / $6,782.44	Facility		$2,665.88	$3,864.78	$6,782.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $258.57 / $923.03	Professional		$113.77	$258.57	$923.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $581.70 / $1,548.62	Professional		$224.10	$581.70	$1,548.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.21 / $351.87 / $921.62	Facility		$114.21	$351.87	$921.62
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $422.66 / $422.66 / $422.66	Facility	52	$422.66	$422.66	$422.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $1,001.26 / $3,618.00	Professional		$278.10	$1,001.26	$3,618.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $909.30 / $1,336.70	Facility		$257.64	$909.30	$1,336.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $638.49 / $1,387.10	Professional		$225.55	$638.49	$1,387.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $296.50 / $1,026.57	Professional		$115.53	$296.50	$1,026.57
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 $339.27 / $988.78 / $1,224.59	Professional		$339.27	$988.78	$1,224.59