Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.27 / $182.27 / $182.27	Facility		$182.27	$182.27	$182.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.27 / $182.27 / $1,088.48	Professional		$182.27	$182.27	$1,088.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,548.13 / $8,874.40 / $16,659.50	Facility		$6,548.13	$8,874.40	$16,659.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $300.81 / $401.08	Professional		$176.47	$300.81	$401.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.77 / $459.39 / $607.05	Professional		$367.77	$459.39	$607.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.62 / $323.54 / $3,044.00	Facility		$209.62	$323.54	$3,044.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $100.06 / $100.06 / $100.06	Facility	AS	$100.06	$100.06	$100.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.01 / $461.14 / $1,876.09	Professional		$248.01	$461.14	$1,876.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $481.07 / $674.72	Facility		$367.00	$481.07	$674.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.67 / $470.87 / $607.05	Professional		$315.67	$470.87	$607.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $378.00 / $538.50	Professional		$254.10	$378.00	$538.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $467.98 / $470.80	Professional		$303.52	$467.98	$470.80