Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $6,456.54 / $12,589.25	Facility		$416.87	$6,456.54	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $316.23	Professional		$109.65	$141.25	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $16,595.87	Facility		$6,456.54	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $263.03	Professional		$107.15	$181.97	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $354.81	Professional		$123.03	$275.42	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $7,943.28	Facility		$120.23	$257.04	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $891.25	Professional		$154.88	$239.88	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $363.08	Professional		$263.03	$275.42	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $165.96 / $309.03	Professional		$5.01	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $8,128.31	Facility		$3,630.78	$5,011.87	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $309.03	Professional		$154.88	$213.80	$309.03