Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.24 / $3,908.01 / $13,841.56	Facility		$206.24	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $206.24 / $431.52	Professional		$76.30	$206.24	$431.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.36 / $309.36 / $630.38	Professional	50	$309.36	$309.36	$630.38
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 $81.06 / $184.22 / $420.94	Professional		$81.06	$184.22	$420.94
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 $160.71 / $292.00 / $641.54	Professional		$160.71	$292.00	$641.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $233.41 / $534.11	Facility		$87.75	$233.41	$534.11
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,769.88 / $2,769.88 / $2,769.88	Facility	50	$2,769.88	$2,769.88	$2,769.88
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $299.14 / $299.14 / $299.14	Facility	52	$299.14	$299.14	$299.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $440.14 / $616.79	Professional		$260.05	$440.14	$616.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.83 / $475.99 / $702.88	Facility		$192.83	$475.99	$702.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $414.68 / $641.54	Professional		$179.78	$414.68	$641.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $216.80 / $737.92	Professional		$79.47	$216.80	$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 $260.05 / $440.14 / $560.11	Professional		$260.05	$440.14	$560.11