Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $3,795.64 / $13,841.56	Facility		$67.27	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $513.00 / $513.00 / $1,189.09	Facility	50	$513.00	$513.00	$1,189.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $98.97 / $273.89	Professional		$46.54	$98.97	$273.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.46 / $329.90 / $462.93	Professional	50	$148.46	$329.90	$462.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.55 / $947.72 / $1,833.19	Facility		$720.55	$947.72	$1,833.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $92.43 / $138.63	Professional		$49.34	$92.43	$138.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $155.94 / $226.68	Professional		$97.80	$155.94	$226.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $111.00 / $294.58	Facility		$56.50	$111.00	$294.58
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $341.15 / $358.07 / $908.12	Facility	50	$341.15	$358.07	$908.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $149.26 / $265.97	Professional		$86.06	$149.26	$265.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $136.58 / $215.78	Facility		$59.98	$136.58	$215.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $165.22 / $215.78	Professional		$115.72	$165.22	$215.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $87.92 / $147.35	Professional		$52.92	$87.92	$147.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $154.27 / $204.12	Professional		$86.06	$154.27	$204.12