Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.82 / $881.82 / $944.61	Facility		$881.82	$881.82	$944.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.82 / $881.82 / $881.82	Professional		$881.82	$881.82	$881.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.01 / $1,538.88 / $2,976.70	Facility		$1,170.01	$1,538.88	$2,976.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.31 / $2,124.38 / $2,191.19	Professional		$1,929.31	$2,124.38	$2,191.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.31 / $2,426.46 / $3,033.07	Professional		$1,603.31	$2,426.46	$3,033.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.99 / $881.82 / $6,346.43	Facility		$480.99	$881.82	$6,346.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $801.65 / $3,861.30	Professional		$801.65	$801.65	$3,861.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,603.31 / $2,030.86 / $2,928.16	Facility		$1,603.31	$2,030.86	$2,928.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,603.31 / $2,629.42 / $3,340.23	Professional		$1,603.31	$2,629.42	$3,340.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.23 / $1,563.23 / $2,725.62	Professional		$1,563.23	$1,563.23	$2,725.62
United Facility/Professional Facility Modifier Low / Median / High Price $480.99 / $561.16 / $801.65	Facility		$480.99	$561.16	$801.65
United Facility/Professional Professional Modifier Low / Median / High Price $761.57 / $801.65 / $1,202.48	Professional		$761.57	$801.65	$1,202.48