Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $3,908.01 / $13,841.56	Facility		$91.03	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $91.03 / $290.41	Professional		$54.53	$91.03	$290.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.30 / $75.30 / $79.01	Professional	50	$75.30	$75.30	$79.01
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 $57.22 / $110.56 / $186.55	Professional		$57.22	$110.56	$186.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.63 / $557.63 / $557.63	Facility		$557.63	$557.63	$557.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $183.77 / $302.43	Professional		$111.33	$183.77	$302.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $142.97 / $419.47	Facility		$64.13	$142.97	$419.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $230.31 / $1,297.00	Professional		$122.89	$230.31	$1,297.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $245.01 / $706.33	Facility		$130.46	$245.01	$706.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $214.70 / $302.43	Professional		$128.09	$214.70	$302.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $109.43 / $737.92	Professional		$56.81	$109.43	$737.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $226.34 / $280.98	Professional		$122.89	$226.34	$280.98