Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.03 / $509.03 / $509.03	Facility		$509.03	$509.03	$509.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $554.40 / $554.40	Professional		$554.40	$554.40	$554.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.18 / $1,162.94 / $2,249.50	Facility		$884.18	$1,162.94	$2,249.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.68 / $1,144.80 / $1,180.80	Professional		$1,039.68	$1,144.80	$1,180.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,307.56 / $1,634.45	Professional		$864.00	$1,307.56	$1,634.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $902.88 / $3,420.00	Facility		$432.00	$902.88	$3,420.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $2,080.80	Professional		$432.00	$432.00	$2,080.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $1,416.74 / $2,002.32	Facility		$864.00	$1,416.74	$2,002.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,416.74 / $1,843.20	Professional		$864.00	$1,416.74	$1,843.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $842.40 / $1,468.80	Professional		$842.40	$842.40	$1,468.80
United Facility/Professional Professional Modifier Low / Median / High Price $410.40 / $432.00 / $1,404.00	Professional		$410.40	$432.00	$1,404.00