Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $23.55 / $53.87	Facility		$23.55	$23.55	$53.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $53.87 / $139.04	Professional		$23.55	$53.87	$139.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,608.94 / $2,180.53 / $4,093.41	Facility		$1,608.94	$2,180.53	$4,093.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $51.39 / $108.73	Professional		$24.76	$51.39	$108.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $107.12 / $162.63	Professional		$55.32	$107.12	$162.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $80.81 / $135.88	Facility		$30.03	$80.81	$135.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $121.67 / $428.32	Professional		$66.15	$121.67	$428.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $107.12 / $144.38	Facility		$55.31	$107.12	$144.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $90.52 / $144.38	Professional		$55.31	$90.52	$144.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $66.20 / $159.60	Professional		$3.00	$66.20	$159.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $116.78 / $136.29	Professional		$74.06	$116.78	$136.29