Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.71 / $3,908.01 / $13,841.56	Facility		$618.71	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $100.30 / $259.20	Professional		$27.53	$100.30	$259.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,229.71 / $1,666.57 / $3,128.57	Facility		$1,229.71	$1,666.57	$3,128.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $97.87 / $202.86	Professional		$47.15	$97.87	$202.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $199.84 / $331.44	Professional		$107.52	$199.84	$331.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $165.38 / $1,041.56	Facility		$57.27	$165.38	$1,041.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $253.76 / $404.15	Professional		$128.90	$253.76	$404.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $157.47 / $289.44	Facility		$104.81	$157.47	$289.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $197.29 / $297.61	Professional		$104.81	$197.29	$297.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $118.10 / $287.39	Professional		$3.00	$118.10	$287.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $250.33 / $321.66	Professional		$158.75	$250.33	$321.66