Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.35 / $5,785.98 / $12,765.09	Facility		$646.35	$5,785.98	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.43 / $646.35 / $2,406.71	Professional		$451.43	$646.35	$2,406.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,362.84 / $10,999.42 / $21,276.43	Facility		$8,362.84	$10,999.42	$21,276.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.25 / $888.71 / $1,331.04	Professional		$484.25	$888.71	$1,331.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,368.73 / $2,368.73 / $2,368.73	Facility		$2,368.73	$2,368.73	$2,368.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.19 / $1,365.89 / $2,021.76	Professional		$858.19	$1,365.89	$2,021.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.36 / $857.72 / $2,308.64	Facility		$539.36	$857.72	$2,308.64
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $224.95 / $224.95 / $224.95	Facility	AS	$224.95	$224.95	$224.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $901.32 / $1,524.74 / $3,800.00	Professional		$901.32	$1,524.74	$3,800.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,081.51 / $1,524.74 / $2,842.49	Facility		$1,081.51	$1,524.74	$2,842.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,008.70 / $1,373.28 / $1,913.39	Professional		$1,008.70	$1,373.28	$1,913.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $522.14 / $910.39 / $1,410.55	Professional		$522.14	$910.39	$1,410.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,441.00 / $8,816.00	Facility		$5,341.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.32 / $1,490.64 / $1,941.30	Professional		$901.32	$1,490.64	$1,941.30