Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $3,801.89 / $12,589.25	Facility		$154.88	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $151.36	Professional		$54.95	$72.44	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $16,595.87	Facility		$6,456.54	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $138.04	Professional		$57.54	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $302.00	Professional		$67.61	$131.83	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $95.50 / $186.21	Facility		$54.95	$95.50	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $549.54	Professional		$97.72	$173.78	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $229.09	Professional		$131.83	$173.78	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $177.83	Professional		$97.72	$138.04	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $95.50 / $199.53	Professional		$5.01	$95.50	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $8,128.31	Facility		$1,905.46	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $177.83	Professional		$69.18	$109.65	$177.83