Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.98 / $334.53 / $10,431.19	Facility		$116.98	$334.53	$10,431.19
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $11.53 / $11.53 / $28.55	Facility	52	$11.53	$11.53	$28.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $66.23 / $156.08	Professional		$23.06	$66.23	$156.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.53 / $28.55 / $66.98	Professional	52	$11.53	$28.55	$66.98
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 $24.53 / $54.64 / $117.73	Professional		$24.53	$54.64	$117.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $115.98 / $178.79	Professional		$55.32	$115.98	$178.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $97.05 / $242.52	Facility		$34.59	$97.05	$242.52
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $89.63 / $89.63 / $89.63	Facility	52	$89.63	$89.63	$89.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $143.30 / $552.69	Professional		$77.44	$143.30	$552.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $115.98 / $187.97	Facility		$53.87	$115.98	$187.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $123.38 / $176.23	Professional		$53.87	$123.38	$176.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $32.90 / $165.60	Professional		$3.00	$32.90	$165.60
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 $80.30 / $133.71 / $172.00	Professional		$80.30	$133.71	$172.00