Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,801.89 / $12,589.25	Facility		$457.09	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $338.84	Professional		$77.62	$181.97	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $9,332.54	Facility		$3,715.35	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $389.05	Professional		$93.33	$177.83	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $489.78	Professional		$109.65	$245.47	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $446.68	Facility		$77.62	$186.21	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $426.58 / $1,479.11	Professional		$190.55	$426.58	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $489.78	Professional		$186.21	$371.54	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $467.74	Professional		$138.04	$288.40	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $194.98 / $562.34	Professional		$3.98	$194.98	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $8,128.31	Facility		$2,630.27	$3,467.37	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $446.68	Professional		$97.72	$194.98	$446.68