Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,257.76 / $5,756.98 / $16,762.57	Facility		$3,257.76	$5,756.98	$16,762.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,373.03 / $2,373.03 / $2,373.03	Facility	50	$2,373.03	$2,373.03	$2,373.03
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.61 / $137.61 / $137.61	Facility	52	$137.61	$137.61	$137.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.04 / $55.04 / $55.04	Facility	53	$55.04	$55.04	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $665.39 / $1,223.00	Professional		$275.20	$665.39	$1,223.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,896.29 / $5,280.48 / $9,912.79	Facility		$3,896.29	$5,280.48	$9,912.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $454.12 / $605.50	Professional		$266.42	$454.12	$605.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.19 / $689.95 / $919.23	Professional		$555.19	$689.95	$919.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.89 / $650.14 / $7,448.32	Facility		$350.89	$650.14	$7,448.32
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $7,119.48 / $7,119.48 / $7,119.48	Facility	52	$7,119.48	$7,119.48	$7,119.48
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,779.87 / $1,779.87 / $1,779.87	Facility	53	$1,779.87	$1,779.87	$1,779.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.53 / $696.28 / $2,853.12	Professional		$391.53	$696.28	$2,853.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $555.19 / $740.86 / $3,145.09	Facility		$555.19	$740.86	$3,145.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $472.73 / $654.29 / $913.52	Professional		$472.73	$654.29	$913.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $527.20 / $738.00	Professional		$3.00	$527.20	$738.00
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 $406.03 / $675.86 / $831.66	Professional		$406.03	$675.86	$831.66