Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,801.89 / $12,589.25	Facility		$288.40	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $131.83 / $288.40	Professional		$46.77	$131.83	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,162.28	Facility		$1,230.27	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $263.03	Professional		$50.12	$112.20	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $169.82 / $416.87	Professional		$64.57	$169.82	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $169.82 / $1,778.28	Facility		$50.12	$169.82	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $489.78	Professional		$199.53	$331.13	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $467.74	Professional		$144.54	$309.03	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $309.03	Professional		$112.20	$112.20	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $446.68	Professional		$186.21	$234.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $363.08	Professional		$83.18	$199.53	$363.08