Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.37 / $3,908.01 / $13,841.56	Facility		$347.37	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $70.87 / $182.27	Professional		$27.56	$70.87	$182.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.78 / $35.28 / $80.73	Professional	52	$13.78	$35.28	$80.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.46 / $484.46 / $909.45	Facility		$357.46	$484.46	$909.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $65.79 / $144.46	Professional		$28.94	$65.79	$144.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $142.33 / $215.32	Professional		$66.22	$142.33	$215.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $119.95 / $413.08	Facility		$35.14	$119.95	$413.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $172.00 / $663.12	Professional		$94.66	$172.00	$663.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $121.61 / $215.32	Facility		$70.97	$121.61	$215.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $142.33 / $211.28	Professional		$64.78	$142.33	$211.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $168.50 / $205.10	Professional		$3.00	$168.50	$205.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $163.44 / $210.50	Professional		$98.17	$163.44	$210.50