Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,801.89 / $12,589.25	Facility		$371.54	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $338.84	Professional		$102.33	$169.82	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $8,317.64	Facility		$3,235.94	$4,265.80	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $331.13	Professional		$125.89	$199.53	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $524.81	Professional		$125.89	$251.19	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $363.08	Facility		$107.15	$190.55	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $1,318.26	Professional		$199.53	$380.19	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $512.86	Professional		$239.88	$338.84	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $407.38	Professional		$190.55	$331.13	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $213.80 / $478.63	Professional		$5.01	$213.80	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $4,466.84	Facility		$676.08	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $416.87	Professional		$131.83	$223.87	$416.87