Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $8,477.27 / $20,928.72	Facility		$68.87	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $90.74 / $242.73	Professional		$41.96	$90.74	$242.73
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.98 / $34.44 / $121.36	Professional	52	$20.98	$34.44	$121.36
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.39 / $13.77 / $48.55	Professional	53	$8.39	$13.77	$48.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,608.94 / $2,180.53 / $4,093.41	Facility		$1,608.94	$2,180.53	$4,093.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $85.20 / $139.83	Professional		$44.10	$85.20	$139.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $139.74 / $210.36	Professional		$100.50	$139.74	$210.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $117.08 / $297.82	Facility		$53.50	$117.08	$297.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $157.63 / $552.16	Professional		$84.82	$157.63	$552.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $137.75 / $183.11	Facility		$69.34	$137.75	$183.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $139.50 / $194.89	Professional		$97.44	$139.50	$194.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $99.10 / $194.60	Professional		$3.00	$99.10	$194.60
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 $84.82 / $149.75 / $177.89	Professional		$84.82	$149.75	$177.89