Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.51 / $3,398.27 / $12,765.09	Facility		$149.51	$3,398.27	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $149.51 / $356.92	Professional		$67.53	$149.51	$356.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $382.73 / $382.73 / $382.73	Professional	50	$382.73	$382.73	$382.73
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 $70.59 / $146.88 / $300.89	Professional		$70.59	$146.88	$300.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $151.86 / $151.86	Facility		$151.86	$151.86	$151.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $244.00 / $392.11	Professional		$137.07	$244.00	$392.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $186.89 / $854.00	Facility		$78.76	$186.89	$854.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $262.74 / $1,087.00	Professional		$153.86	$262.74	$1,087.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $206.23 / $392.11	Facility		$151.86	$206.23	$392.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $263.00 / $368.36	Professional		$139.94	$263.00	$368.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $159.29 / $298.02	Professional		$72.31	$159.29	$298.02
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 $153.86 / $262.74 / $363.94	Professional		$153.86	$262.74	$363.94