Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $45.53 / $84.52	Facility		$45.53	$45.53	$84.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $84.52 / $256.32	Professional		$45.53	$84.52	$256.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $715.74 / $1,343.62	Facility		$528.12	$715.74	$1,343.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $93.65 / $169.63	Professional		$48.47	$93.65	$169.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $167.11 / $242.31	Professional		$108.75	$167.11	$242.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.05 / $126.78 / $407.89	Facility		$58.05	$126.78	$407.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $201.40 / $666.32	Professional		$113.83	$201.40	$666.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $149.63 / $242.31	Facility		$108.60	$149.63	$242.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $160.90 / $242.31	Professional		$109.17	$160.90	$242.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $99.20 / $246.10	Professional		$6.00	$99.20	$246.10
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 $113.83 / $189.53 / $224.15	Professional		$113.83	$189.53	$224.15