Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $12,589.25	Facility		$2,344.23	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $3,019.95	Professional		$524.81	$602.56	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,589.25 / $24,547.09	Facility		$9,772.37	$12,589.25	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,258.93	Professional		$512.86	$870.96	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,318.26 / $1,737.80	Professional		$616.60	$1,318.26	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $15,488.17	Facility		$562.34	$1,258.93	$15,488.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $4,265.80	Professional		$758.58	$1,202.26	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,778.28	Professional		$1,258.93	$1,348.96	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,071.52 / $1,412.54	Professional		$7.08	$1,071.52	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,309.57 / $12,589.25	Facility		$1,584.89	$6,309.57	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,445.44	Professional		$776.25	$1,122.02	$1,445.44