Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,801.89 / $12,589.25	Facility		$194.98	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $295.12	Professional		$52.48	$100.00	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $158.49 / $162.18	Professional	50	$158.49	$158.49	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $12,589.25	Facility		$5,011.87	$6,456.54	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $190.55	Professional		$63.10	$102.33	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $288.40	Professional		$112.20	$181.97	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $154.88 / $1,096.48	Facility		$66.07	$154.88	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $1,096.48	Professional		$102.33	$208.93	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $331.13	Professional		$125.89	$186.21	$331.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $309.03	Professional		$120.23	$165.96	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $199.53	Professional		$51.29	$100.00	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $6,309.57	Facility		$1,096.48	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $239.88	Professional		$69.18	$128.82	$239.88