Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $43.22 / $71.98	Facility		$43.22	$43.22	$71.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $71.98 / $248.35	Professional		$43.22	$71.98	$248.35
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 $45.24 / $87.40 / $145.80	Professional		$45.24	$87.40	$145.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $145.31 / $188.01	Professional		$102.84	$145.31	$188.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $117.82 / $297.82	Facility		$55.11	$117.82	$297.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $162.61 / $576.00	Professional		$87.50	$162.61	$576.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $143.62 / $189.39	Facility		$71.45	$143.62	$189.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $143.62 / $189.39	Professional		$94.02	$143.62	$189.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $102.70 / $205.20	Professional		$3.00	$102.70	$205.20
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 $89.49 / $154.47 / $185.95	Professional		$89.49	$154.47	$185.95