Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.30 / $3,908.01 / $13,841.56	Facility		$783.30	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $175.15 / $385.48	Professional		$99.66	$175.15	$385.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $765.63 / $1,343.62	Facility		$528.12	$765.63	$1,343.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $203.53 / $354.85	Professional		$105.36	$203.53	$354.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $335.76 / $517.01	Professional		$162.08	$335.76	$517.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $194.34 / $365.73	Facility		$107.66	$194.34	$365.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.03 / $407.69 / $1,394.64	Professional		$245.03	$407.69	$1,394.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.51 / $330.02 / $497.41	Facility		$231.51	$330.02	$497.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $330.57 / $468.81	Professional		$222.48	$330.57	$468.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $247.40 / $505.50	Professional		$5.00	$247.40	$505.50
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 $208.61 / $365.39 / $459.51	Professional		$208.61	$365.39	$459.51