Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.92 / $1,913.00 / $13,841.56	Facility		$70.92	$1,913.00	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $109.22 / $279.48	Professional		$58.92	$109.22	$279.48
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 $62.32 / $120.42 / $221.50	Professional		$62.32	$120.42	$221.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.53 / $97.53 / $97.53	Facility		$97.53	$97.53	$97.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $177.25 / $274.56	Professional		$122.56	$177.25	$274.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.97 / $185.55 / $1,025.16	Facility		$67.97	$185.55	$1,025.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $187.72 / $912.00	Professional		$109.93	$187.72	$912.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $157.84 / $281.42	Facility		$109.68	$157.84	$281.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $182.59 / $281.42	Professional		$123.56	$182.59	$281.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $124.16 / $222.23	Professional		$64.54	$124.16	$222.23
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 $107.12 / $181.80 / $282.12	Professional		$107.12	$181.80	$282.12