Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.31 / $5,463.36 / $13,841.56	Facility		$2,318.31	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.28 / $118.28 / $310.88	Facility	52	$118.28	$118.28	$310.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.31 / $47.31 / $124.35	Facility	53	$47.31	$47.31	$124.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.56 / $594.40 / $1,283.51	Professional		$236.56	$594.40	$1,283.51
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 $354.88 / $946.62 / $1,343.39	Professional		$354.88	$946.62	$1,343.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.84 / $967.97 / $2,042.47	Professional		$380.84	$967.97	$2,042.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.69 / $702.05 / $1,438.09	Facility		$249.69	$702.05	$1,438.09
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $926.46 / $926.46 / $926.46	Facility	52	$926.46	$926.46	$926.46
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $231.61 / $231.61 / $231.61	Facility	53	$231.61	$231.61	$231.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,530.75 / $4,908.96	Professional		$800.00	$1,530.75	$4,908.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $609.85 / $1,193.67 / $2,042.47	Facility		$609.85	$1,193.67	$2,042.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.76 / $1,154.93 / $1,850.46	Professional		$556.76	$1,154.93	$1,850.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $674.21 / $1,522.12	Professional		$247.92	$674.21	$1,522.12
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 $800.00 / $1,466.18 / $1,635.91	Professional		$800.00	$1,466.18	$1,635.91