Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,048.00 / $13,841.56 / $38,162.50	Facility		$6,048.00	$13,841.56	$38,162.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $166.85 / $166.85 / $166.85	Facility	53	$166.85	$166.85	$166.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.23 / $945.15 / $4,561.00	Professional		$834.23	$945.15	$4,561.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,779.16 / $24,699.74 / $47,777.27	Facility		$18,779.16	$24,699.74	$47,777.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.77 / $1,334.45 / $1,797.24	Professional		$790.77	$1,334.45	$1,797.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42,596.00 / $42,596.00 / $42,596.00	Facility		$42,596.00	$42,596.00	$42,596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,647.90 / $2,053.62 / $2,563.04	Professional		$1,647.90	$2,053.62	$2,563.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,251.34 / $11,459.00 / $31,397.70	Facility		$1,251.34	$11,459.00	$31,397.70
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $5,345.40 / $5,345.40 / $5,345.40	Facility	53	$5,345.40	$5,345.40	$5,345.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,345.68 / $2,154.82 / $3,016.55	Professional		$1,345.68	$2,154.82	$3,016.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,647.90 / $2,146.25 / $2,754.78	Facility		$1,647.90	$2,146.25	$2,754.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,647.90 / $2,210.69 / $2,754.78	Professional		$1,647.90	$2,210.69	$2,754.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $837.71 / $1,460.62 / $1,782.72	Professional		$837.71	$1,460.62	$1,782.72
United Facility/Professional Facility Modifier Low / Median / High Price $9,617.00 / $11,459.00 / $26,782.00	Facility		$9,617.00	$11,459.00	$26,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.68 / $2,280.61 / $2,971.58	Professional		$1,345.68	$2,280.61	$2,971.58