Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.28 / $6,732.07 / $12,027.08	Facility		$1,965.28	$6,732.07	$12,027.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.21 / $105.21 / $625.14	Facility	52	$105.21	$105.21	$625.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.08 / $42.08 / $250.05	Facility	53	$42.08	$42.08	$250.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.41 / $620.08 / $1,416.78	Professional		$210.41	$620.08	$1,416.78
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $42.08 / $114.97 / $250.05	Professional	53	$42.08	$114.97	$250.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,779.83 / $7,833.15 / $14,704.82	Facility		$5,779.83	$7,833.15	$14,704.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.75 / $503.99 / $2,477.19	Professional		$221.75	$503.99	$2,477.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.64 / $2,440.34 / $3,918.87	Professional		$505.64	$2,440.34	$3,918.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.62 / $1,875.41 / $6,333.00	Facility		$315.62	$1,875.41	$6,333.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $840.46 / $840.46 / $840.46	Facility	52	$840.46	$840.46	$840.46
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $210.11 / $210.11 / $210.11	Facility	53	$210.11	$210.11	$210.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.07 / $2,532.11 / $9,714.64	Professional		$815.07	$2,532.11	$9,714.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $2,440.34 / $3,637.80	Facility		$502.00	$2,440.34	$3,637.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $451.16 / $1,538.07 / $3,637.80	Professional		$451.16	$1,538.07	$3,637.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $439.20 / $3,819.70	Professional		$4.00	$439.20	$3,819.70
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 $815.07 / $2,532.11 / $3,185.27	Professional		$815.07	$2,532.11	$3,185.27