Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.60 / $3,908.01 / $13,841.56	Facility		$91.60	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $91.60 / $290.14	Professional		$50.45	$91.60	$290.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,973.60 / $6,541.64 / $12,653.65	Facility		$4,973.60	$6,541.64	$12,653.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $102.98 / $185.87	Professional		$53.31	$102.98	$185.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.91 / $716.91 / $716.91	Facility		$716.91	$716.91	$716.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $183.11 / $307.82	Professional		$105.69	$183.11	$307.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $151.13 / $414.55	Facility		$63.06	$151.13	$414.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $208.73 / $388.04	Professional		$110.62	$208.73	$388.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $248.60 / $917.51	Facility		$136.91	$248.60	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $209.59 / $314.77	Professional		$125.69	$209.59	$314.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $101.81 / $959.01	Professional		$53.49	$101.81	$959.01
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 $110.62 / $198.34 / $285.83	Professional		$110.62	$198.34	$285.83