Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.44 / $3,908.01 / $13,841.56	Facility		$126.44	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $126.44 / $404.33	Professional		$72.92	$126.44	$404.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,507.81 / $1,983.18 / $3,836.12	Facility		$1,507.81	$1,983.18	$3,836.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $148.27 / $255.63	Professional		$76.75	$148.27	$255.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.63 / $557.63 / $557.63	Facility		$557.63	$557.63	$557.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $251.84 / $406.67	Professional		$152.16	$251.84	$406.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $166.58 / $349.69	Facility		$83.86	$166.58	$349.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $282.67 / $584.88	Professional		$163.54	$282.67	$584.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.49 / $288.95 / $669.15	Facility		$174.49	$288.95	$669.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $246.32 / $359.74	Professional		$168.12	$246.32	$359.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $145.41 / $737.92	Professional		$77.72	$145.41	$737.92
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 $163.54 / $282.47 / $352.24	Professional		$163.54	$282.47	$352.24