Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $3,908.01 / $13,841.56	Facility		$129.19	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $151.68 / $151.68 / $151.68	Facility	50	$151.68	$151.68	$151.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $129.19 / $504.47	Professional		$92.37	$129.19	$504.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $285.81 / $285.81 / $285.81	Professional	50	$285.81	$285.81	$285.81
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 $98.98 / $181.68 / $266.58	Professional		$98.98	$181.68	$266.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $128.09 / $128.09	Facility		$128.09	$128.09	$128.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $273.55 / $408.05	Professional		$133.57	$273.55	$408.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.23 / $172.22 / $367.48	Facility		$106.23	$172.22	$367.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $227.84 / $876.00	Professional		$151.88	$227.84	$876.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $227.82 / $335.21	Facility		$137.47	$227.82	$335.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $229.20 / $350.37	Professional		$173.00	$229.20	$350.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $185.58 / $277.95	Professional		$107.17	$185.58	$277.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $251.21 / $327.14	Professional		$147.10	$251.21	$327.14