Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $63.08 / $765.51	Facility		$63.08	$63.08	$765.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $63.08 / $366.93	Professional		$63.08	$63.08	$366.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.55 / $1,101.21 / $2,067.25	Facility		$812.55	$1,101.21	$2,067.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $105.37 / $140.49	Professional		$61.82	$105.37	$140.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $160.10 / $203.44	Professional		$128.83	$160.10	$203.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.27 / $119.85 / $1,300.00	Facility		$70.27	$119.85	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $155.53 / $519.52	Professional		$76.68	$155.53	$519.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $128.83 / $203.44	Facility		$63.31	$128.83	$203.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $155.03 / $203.44	Professional		$105.48	$155.03	$203.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $132.40 / $182.90	Professional		$82.50	$132.40	$182.90
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 $89.46 / $148.91 / $185.63	Professional		$89.46	$148.91	$185.63