Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.88 / $640.88 / $653.16	Facility		$640.88	$640.88	$653.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.88 / $640.88 / $4,008.92	Professional		$640.88	$640.88	$4,008.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $974.78 / $1,282.09 / $2,479.98	Facility		$974.78	$1,282.09	$2,479.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.94 / $1,255.88 / $1,287.28	Professional		$1,174.94	$1,255.88	$1,287.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,706.14 / $3,706.14 / $3,706.14	Facility		$3,706.14	$3,706.14	$3,706.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,536.76 / $1,997.43	Professional		$1,272.44	$1,536.76	$1,997.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.24 / $963.70 / $3,059.41	Facility		$291.24	$963.70	$3,059.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.48 / $1,345.85 / $4,681.14	Professional		$684.48	$1,345.85	$4,681.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.41 / $1,325.59 / $2,231.81	Facility		$512.41	$1,325.59	$2,231.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $960.96 / $1,536.76 / $1,950.31	Professional		$960.96	$1,536.76	$1,950.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $651.74 / $1,225.63	Professional		$77.09	$651.74	$1,225.63
United Facility/Professional Professional Modifier Low / Median / High Price $684.48 / $1,278.56 / $1,587.10	Professional		$684.48	$1,278.56	$1,587.10