Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $83.18 / $147.91	Facility		$70.79	$83.18	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $83.18 / $245.47	Professional		$42.66	$83.18	$245.47
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 $52.48 / $83.18 / $144.54	Professional		$52.48	$83.18	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $186.21	Professional		$52.48	$104.71	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $123.03 / $1,230.27	Facility		$54.95	$123.03	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $575.44	Professional		$89.13	$131.83	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $186.21	Professional		$109.65	$147.91	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $169.82	Professional		$102.33	$102.33	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $112.20 / $204.17	Professional		$3.02	$112.20	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,230.27 / $4,466.84	Facility		$251.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $169.82	Professional		$64.57	$104.71	$169.82