Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $331.13	Facility		$323.59	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $891.25	Professional		$331.13	$436.52	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $2,454.71	Facility		$645.65	$891.25	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $691.83	Professional		$602.56	$645.65	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $776.25 / $1,000.00	Professional		$323.59	$776.25	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $1,380.38	Facility		$363.08	$660.69	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $3,162.28	Professional		$446.68	$707.95	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,122.02	Professional		$660.69	$776.25	$1,122.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,122.02	Professional		$741.31	$933.25	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $251.19 / $549.54	Professional		$81.28	$251.19	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $436.52 / $724.44	Facility		$93.33	$436.52	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $954.99	Professional		$407.38	$676.08	$954.99