Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.59 / $3,908.01 / $13,841.56	Facility		$125.59	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $93.46 / $211.35	Professional		$65.62	$93.46	$211.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,651.58 / $3,194.68	Facility		$1,255.69	$1,651.58	$3,194.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $126.84 / $186.83	Professional		$69.54	$126.84	$186.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $204.51 / $273.02	Professional		$82.50	$204.51	$273.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $154.94 / $332.40	Facility		$77.56	$154.94	$332.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $202.00 / $747.36	Professional		$114.65	$202.00	$747.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $194.19 / $273.02	Facility		$151.00	$194.19	$273.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $185.28 / $264.11	Professional		$137.90	$185.28	$264.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $124.94 / $201.56	Professional		$74.95	$124.94	$201.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $202.00 / $241.41	Professional		$114.65	$202.00	$241.41