Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $142.26 / $585.05	Facility		$43.36	$142.26	$585.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $43.36 / $258.20	Professional		$43.36	$43.36	$258.20
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 $41.50 / $70.68 / $94.31	Professional		$41.50	$70.68	$94.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $108.75 / $144.05	Professional		$86.40	$108.75	$144.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $103.56 / $1,300.00	Facility		$55.28	$103.56	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $109.70 / $371.00	Professional		$55.04	$109.70	$371.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $109.17 / $154.35	Facility		$86.40	$109.17	$154.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $109.17 / $144.05	Professional		$81.00	$109.17	$144.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $89.90 / $123.10	Professional		$69.20	$89.90	$123.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $106.90 / $133.94	Professional		$68.81	$106.90	$133.94