Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $177.83	Facility		$93.33	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $537.03	Professional		$93.33	$97.72	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,715.35	Facility		$1,445.44	$1,905.46	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $199.53	Professional		$89.13	$147.91	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $309.03	Professional		$112.20	$229.09	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $4,365.16	Facility		$93.33	$177.83	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $1,621.81	Professional		$128.82	$194.98	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $316.23	Professional		$218.78	$245.47	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $251.19	Professional		$190.55	$218.78	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $13,803.84	Facility		$3,235.94	$4,570.88	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $275.42	Professional		$128.82	$194.98	$275.42