Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $3,795.64 / $13,841.56	Facility		$81.06	$3,795.64	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $81.06 / $328.80	Professional		$51.67	$81.06	$328.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.55 / $947.72 / $1,833.19	Facility		$720.55	$947.72	$1,833.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $103.53 / $163.84	Professional		$54.25	$103.53	$163.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $65.51 / $65.51	Facility		$65.51	$65.51	$65.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $168.13 / $273.22	Professional		$107.55	$168.13	$273.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $133.77 / $355.85	Facility		$64.59	$133.77	$355.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $192.22 / $384.43	Professional		$104.34	$192.22	$384.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $161.40 / $263.75	Facility		$74.02	$161.40	$263.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $187.76 / $273.22	Professional		$120.83	$187.76	$273.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $95.11 / $159.83	Professional		$53.15	$95.11	$159.83
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 $104.34 / $192.22 / $242.04	Professional		$104.34	$192.22	$242.04