Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,078.10 / $7,136.07 / $16,324.00	Facility		$4,078.10	$7,136.07	$16,324.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,606.34 / $10,317.92 / $10,680.54	Facility	50	$8,606.34	$10,317.92	$10,680.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $917.40 / $1,315.20	Professional		$377.52	$917.40	$1,315.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,283.48 / $11,226.25 / $21,074.53	Facility		$8,283.48	$11,226.25	$21,074.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.36 / $622.76 / $830.36	Professional		$365.36	$622.76	$830.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.36 / $946.15 / $1,263.25	Professional		$761.36	$946.15	$1,263.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $3,343.62 / $10,994.88	Facility		$481.34	$3,343.62	$10,994.88
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,308.67 / $8,064.00 / $14,639.04	Facility	50	$2,308.67	$8,064.00	$14,639.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.30 / $897.19 / $3,057.36	Professional		$538.30	$897.19	$3,057.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $761.36 / $1,016.09 / $4,791.04	Facility		$761.36	$1,016.09	$4,791.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $723.87 / $946.15 / $1,255.58	Professional		$723.87	$946.15	$1,255.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $458.00 / $1,012.90	Professional		$5.00	$458.00	$1,012.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $7,441.00 / $8,816.00	Facility		$6,178.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.25 / $929.25 / $1,144.27	Professional		$558.25	$929.25	$1,144.27