Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $10,431.19 / $20,928.72	Facility		$4,241.22	$10,431.19	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $109.53 / $185.54	Professional		$99.00	$109.53	$185.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,219.04 / $16,264.47 / $28,543.08	Facility		$11,219.04	$16,264.47	$28,543.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $161.84 / $215.81	Professional		$94.95	$161.84	$215.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $245.91 / $352.48	Professional		$163.13	$245.91	$352.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $173.25 / $324.39	Facility		$99.00	$173.25	$324.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $250.47 / $808.00	Professional		$159.27	$250.47	$808.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.88 / $245.91 / $352.48	Facility		$197.88	$245.91	$352.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $245.27 / $333.20	Professional		$182.25	$245.27	$333.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $243.90 / $345.50	Professional		$141.10	$243.90	$345.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $247.51 / $297.30	Professional		$159.27	$247.51	$297.30