Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,801.89 / $12,589.25	Facility		$309.03	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $407.38	Professional		$74.13	$134.90	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	50	$524.81	$524.81	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,801.89	Facility		$1,513.56	$1,949.84	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $263.03	Professional		$89.13	$147.91	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $389.05	Professional		$141.25	$218.78	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $204.17 / $1,023.29	Facility		$91.20	$204.17	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $588.84	Professional		$154.88	$281.84	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $407.38	Professional		$169.82	$251.19	$407.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $426.58	Professional		$169.82	$245.47	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $309.03	Professional		$75.86	$154.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $6,309.57	Facility		$870.96	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $323.59	Professional		$97.72	$177.83	$323.59