Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.15 / $5,463.36 / $13,841.56	Facility		$1,506.15	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.87 / $28.87 / $28.87	Facility	52	$28.87	$28.87	$28.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $57.74 / $325.79	Professional		$57.74	$57.74	$325.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,973.60 / $6,541.64 / $12,653.65	Facility		$4,973.60	$6,541.64	$12,653.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $96.70 / $128.93	Professional		$56.72	$96.70	$128.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.91 / $716.91 / $716.91	Facility		$716.91	$716.91	$716.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $146.91 / $247.00	Professional		$118.22	$146.91	$247.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $106.82 / $1,775.00	Facility		$57.74	$106.82	$1,775.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $157.69 / $2,055.60 / $2,055.60	Facility	52	$157.69	$2,055.60	$2,055.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $137.24 / $267.39	Professional		$78.20	$137.24	$267.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $187.71 / $921.98	Facility		$118.22	$187.71	$921.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $168.20 / $199.43	Professional		$123.15	$168.20	$199.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $115.56 / $984.88	Professional		$63.57	$115.56	$984.88
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 $78.20 / $138.81 / $178.31	Professional		$78.20	$138.81	$178.31