Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $5,011.87 / $12,589.25	Facility		$302.00	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $363.08	Professional		$66.07	$141.25	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $12,589.25	Facility		$5,011.87	$6,456.54	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $257.04	Professional		$67.61	$134.90	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $371.54	Professional		$131.83	$204.17	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $208.93 / $1,258.93	Facility		$81.28	$208.93	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $524.81	Professional		$154.88	$281.84	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $389.05	Professional		$131.83	$257.04	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $426.58	Professional		$131.83	$218.78	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $309.03	Professional		$60.26	$138.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $338.84	Professional		$89.13	$169.82	$338.84