Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.12 / $75.12 / $75.12	Facility		$75.12	$75.12	$75.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $77.67 / $131.07	Professional		$74.86	$77.67	$131.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.38 / $865.17 / $1,624.14	Facility		$638.38	$865.17	$1,624.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $126.98 / $169.31	Professional		$74.50	$126.98	$169.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.82 / $196.12 / $435.58	Professional		$157.82	$196.12	$435.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.12 / $123.95 / $176.16	Facility		$75.12	$123.95	$176.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $171.35 / $515.54	Professional		$127.10	$171.35	$515.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $157.82 / $435.58	Facility		$108.05	$157.82	$435.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $157.82 / $435.58	Professional		$108.05	$157.82	$435.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $111.70 / $111.70	Professional		$111.70	$111.70	$111.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $162.26 / $194.87	Professional		$121.54	$162.26	$194.87