Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,548.13 / $10,964.78	Facility		$208.93	$3,548.13	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $263.03	Professional		$43.65	$102.33	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,162.28	Facility		$1,230.27	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $199.53	Professional		$54.95	$97.72	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $309.03	Professional		$53.70	$138.04	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $151.36 / $1,778.28	Facility		$57.54	$151.36	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $407.38	Professional		$128.82	$208.93	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $331.13	Professional		$117.49	$223.87	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $229.09	Professional		$107.15	$107.15	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $128.82 / $288.40	Professional		$3.02	$128.82	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $6,309.57	Facility		$870.96	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $251.19	Professional		$66.07	$128.82	$251.19