Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,801.89 / $12,589.25	Facility		$181.97	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $389.05	Professional		$50.12	$89.13	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $912.01	Facility		$354.81	$467.74	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $158.49	Professional		$60.26	$95.50	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $204.17	Professional		$60.26	$151.36	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $1,230.27	Facility		$61.66	$138.04	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $707.95	Professional		$107.15	$165.96	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $234.42	Professional		$125.89	$186.21	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $190.55	Professional		$117.49	$117.49	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $181.97 / $218.78	Professional		$3.02	$181.97	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,230.27 / $4,466.84	Facility		$165.96	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $199.53	Professional		$72.44	$120.23	$199.53