Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.60 / $501.60 / $537.30	Facility		$501.60	$501.60	$537.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.60 / $501.60 / $501.60	Professional		$501.60	$501.60	$501.60
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 $1,097.44 / $1,208.40 / $1,246.40	Professional		$1,097.44	$1,208.40	$1,246.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,380.67 / $1,725.84	Professional		$912.00	$1,380.67	$1,725.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $1,145.03 / $3,610.00	Facility		$456.00	$1,145.03	$3,610.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $456.00 / $2,196.40	Professional		$456.00	$456.00	$2,196.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,330.00 / $1,778.40	Facility		$912.00	$1,330.00	$1,778.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,495.68 / $1,900.00	Professional		$912.00	$1,495.68	$1,900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $889.20 / $1,550.40	Professional		$889.20	$889.20	$1,550.40
United Facility/Professional Professional Modifier Low / Median / High Price $433.20 / $456.00 / $684.00	Professional		$433.20	$456.00	$684.00