Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $43.90 / $43.90	Facility		$43.90	$43.90	$43.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $43.90 / $253.63	Professional		$43.90	$43.90	$253.63
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 $42.00 / $70.56 / $95.48	Professional		$42.00	$70.56	$95.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $109.00 / $147.51	Professional		$87.71	$109.00	$147.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $98.92 / $1,300.00	Facility		$45.93	$98.92	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $111.07 / $660.00	Professional		$60.62	$111.07	$660.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $109.00 / $147.51	Facility		$87.71	$109.00	$147.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $109.00 / $144.96	Professional		$81.00	$109.00	$144.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $98.00 / $117.10	Professional		$80.80	$98.00	$117.10
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 $74.19 / $108.69 / $114.38	Professional		$74.19	$108.69	$114.38