Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,801.89 / $12,589.25	Facility		$346.74	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $407.38	Professional		$102.33	$169.82	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $4,073.80	Facility		$1,621.81	$2,089.30	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $309.03	Professional		$128.82	$199.53	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $436.52	Professional		$125.89	$257.04	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $1,230.27	Facility		$131.83	$234.42	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $1,258.93	Professional		$199.53	$302.00	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $436.52	Professional		$263.03	$346.74	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $363.08	Professional		$245.47	$245.47	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $251.19 / $436.52	Professional		$3.02	$251.19	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $4,466.84	Facility		$380.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $389.05	Professional		$154.88	$239.88	$389.05