Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $4,778.89 / $13,841.56	Facility		$1,653.00	$4,778.89	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.04 / $94.04 / $426.02	Facility	52	$94.04	$94.04	$426.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.61 / $37.61 / $170.41	Facility	53	$37.61	$37.61	$170.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $518.62 / $1,040.63	Professional		$188.08	$518.62	$1,040.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,896.99 / $5,281.43 / $9,914.59	Facility		$3,896.99	$5,281.43	$9,914.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $447.25 / $1,684.29	Professional		$196.80	$447.25	$1,684.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.54 / $1,659.23 / $2,566.16	Professional		$449.54	$1,659.23	$2,566.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.80 / $1,278.05 / $3,032.48	Facility		$239.80	$1,278.05	$3,032.48
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $727.83 / $727.83	Facility	52	$727.83	$727.83	$727.83
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $181.96 / $181.96	Facility	53	$181.96	$181.96	$181.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.43 / $1,888.26 / $3,321.46	Professional		$1,127.43	$1,888.26	$3,321.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $490.07 / $1,659.23 / $2,383.28	Facility		$490.07	$1,659.23	$2,383.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $1,507.25 / $2,383.28	Professional		$437.40	$1,507.25	$2,383.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $300.20 / $2,561.69	Professional		$6.00	$300.20	$2,561.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.32 / $1,946.69 / $2,273.67	Professional		$1,325.32	$1,946.69	$2,273.67