Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.89 / $5,463.36 / $13,841.56	Facility		$1,182.89	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $430.72 / $1,403.25	Professional		$301.08	$430.72	$1,403.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,609.82 / $6,247.48 / $11,728.12	Facility		$4,609.82	$6,247.48	$11,728.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.19 / $594.24 / $877.25	Professional		$320.19	$594.24	$877.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.05 / $1,001.21 / $1,270.72	Professional		$724.05	$1,001.21	$1,270.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.89 / $707.63 / $2,398.48	Facility		$383.89	$707.63	$2,398.48
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $155.02 / $155.02 / $155.02	Facility	AS	$155.02	$155.02	$155.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $551.02 / $1,039.73 / $2,463.04	Professional		$551.02	$1,039.73	$2,463.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $742.15 / $1,004.53 / $1,338.10	Facility		$742.15	$1,004.53	$1,338.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $628.22 / $865.10 / $1,198.58	Professional		$628.22	$865.10	$1,198.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $543.60 / $1,261.20	Professional		$4.00	$543.60	$1,261.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.40 / $987.76 / $1,144.82	Professional		$593.40	$987.76	$1,144.82