Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.62 / $394.62 / $422.72	Facility		$394.62	$394.62	$422.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.62 / $394.62 / $394.62	Professional		$394.62	$394.62	$394.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.74 / $581.01 / $1,123.85	Facility		$441.74	$581.01	$1,123.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.38 / $950.67 / $980.57	Professional		$863.38	$950.67	$980.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,085.60 / $1,357.01	Professional		$717.49	$1,085.60	$1,357.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $897.83 / $2,840.07	Facility		$358.75	$897.83	$2,840.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $358.75 / $1,727.96	Professional		$358.75	$358.75	$1,727.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $717.49 / $1,138.26 / $1,310.36	Facility		$717.49	$1,138.26	$1,310.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,172.30 / $1,530.65	Professional		$717.49	$1,172.30	$1,530.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $699.55 / $699.55 / $1,219.74	Professional		$699.55	$699.55	$1,219.74
United Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $251.12 / $358.75	Facility		$215.25	$251.12	$358.75
United Facility/Professional Professional Modifier Low / Median / High Price $340.81 / $358.75 / $388.64	Professional		$340.81	$358.75	$388.64