Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,907.14 / $12,036.14 / $31,729.62	Facility		$4,907.14	$12,036.14	$31,729.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $254.99 / $254.99 / $254.99	Facility	52	$254.99	$254.99	$254.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $102.00 / $102.00 / $102.00	Facility	53	$102.00	$102.00	$102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.96 / $877.43 / $2,487.00	Professional		$502.96	$877.43	$2,487.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,547.24 / $20,448.87 / $39,554.72	Facility		$15,547.24	$20,448.87	$39,554.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.47 / $827.66 / $1,114.70	Professional		$490.47	$827.66	$1,114.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,179.00 / $24,179.00 / $24,179.00	Facility		$24,179.00	$24,179.00	$24,179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.09 / $1,245.04 / $1,413.22	Professional		$1,022.09	$1,245.04	$1,413.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.22 / $1,252.43 / $16,787.84	Facility		$650.22	$1,252.43	$16,787.84
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $30,081.88 / $30,081.88 / $30,081.88	Facility	52	$30,081.88	$30,081.88	$30,081.88
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $7,520.47 / $7,520.47 / $7,520.47	Facility	53	$7,520.47	$7,520.47	$7,520.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $706.30 / $1,205.89 / $1,604.53	Professional		$706.30	$1,205.89	$1,604.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,022.09 / $1,354.09 / $13,288.90	Facility		$1,022.09	$1,354.09	$13,288.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $902.85 / $1,168.94 / $1,531.85	Professional		$902.85	$1,168.94	$1,531.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $481.36 / $839.30 / $1,105.47	Professional		$481.36	$839.30	$1,105.47
United Facility/Professional Facility Modifier Low / Median / High Price $6,777.00 / $8,220.00 / $9,696.00	Facility		$6,777.00	$8,220.00	$9,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.63 / $1,183.58 / $1,345.78	Professional		$760.63	$1,183.58	$1,345.78