Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $66.69 / $66.69	Facility		$66.69	$66.69	$66.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $66.69 / $381.67	Professional		$66.69	$66.69	$381.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,478.60 / $8,780.17 / $16,482.62	Facility		$6,478.60	$8,780.17	$16,482.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $106.91 / $145.05	Professional		$63.82	$106.91	$145.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $165.12 / $222.82	Professional		$132.87	$165.12	$222.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $128.34 / $1,300.00	Facility		$69.65	$128.34	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $168.73 / $660.00	Professional		$91.51	$168.73	$660.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.87 / $155.75 / $222.82	Facility		$132.87	$155.75	$222.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $155.75 / $216.91	Professional		$116.00	$155.75	$216.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $150.19 / $175.50	Professional		$123.80	$150.19	$175.50
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 $98.55 / $164.04 / $202.13	Professional		$98.55	$164.04	$202.13