Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.17 / $3,908.01 / $13,841.56	Facility		$103.17	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $111.60 / $436.61	Professional		$50.89	$111.60	$436.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $450.76 / $450.76 / $450.76	Professional	50	$450.76	$450.76	$450.76
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 $53.42 / $107.58 / $209.94	Professional		$53.42	$107.58	$209.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $105.78 / $105.78	Facility		$105.78	$105.78	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $215.44 / $347.27	Professional		$105.90	$215.44	$347.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $170.23 / $305.41	Facility		$63.61	$170.23	$305.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $234.03 / $361.42	Professional		$137.05	$234.03	$361.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $174.87 / $318.26	Facility		$118.62	$174.87	$318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $238.73 / $319.81	Professional		$120.28	$238.73	$319.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $111.24 / $208.13	Professional		$53.85	$111.24	$208.13
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 $137.05 / $245.67 / $295.18	Professional		$137.05	$245.67	$295.18