Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $8,477.27 / $20,928.72	Facility		$89.93	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $109.55 / $324.77	Professional		$43.21	$109.55	$324.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $715.74 / $1,343.62	Facility		$528.12	$715.74	$1,343.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $93.04 / $181.03	Professional		$45.28	$93.04	$181.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $178.33 / $281.56	Professional		$103.62	$178.33	$281.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $134.90 / $343.78	Facility		$55.09	$134.90	$343.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $225.99 / $711.04	Professional		$124.38	$225.99	$711.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.44 / $151.22 / $258.85	Facility		$100.44	$151.22	$258.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $178.33 / $258.85	Professional		$100.44	$178.33	$258.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $115.20 / $257.70	Professional		$5.00	$115.20	$257.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $204.53 / $257.95	Professional		$124.38	$204.53	$257.95