Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $3,908.01 / $13,841.56	Facility		$136.40	$3,908.01	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $136.40 / $372.38	Professional		$71.43	$136.40	$372.38
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 $75.73 / $146.31 / $278.17	Professional		$75.73	$146.31	$278.17
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 $133.21 / $274.02 / $419.74	Professional		$133.21	$274.02	$419.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $151.19 / $391.33	Facility		$83.28	$151.19	$391.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $263.79 / $392.11	Professional		$170.40	$263.79	$392.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $305.76 / $917.51	Facility		$174.98	$305.76	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $255.29 / $368.70	Professional		$150.69	$255.29	$368.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $146.80 / $948.71	Professional		$74.59	$146.80	$948.71
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 $170.40 / $263.39 / $349.43	Professional		$170.40	$263.39	$349.43