Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.60 / $765.60 / $1,160.00	Facility		$765.60	$765.60	$1,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.60 / $765.60 / $7,458.80	Professional		$765.60	$765.60	$7,458.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.01 / $1,538.88 / $2,976.70	Facility		$1,170.01	$1,538.88	$2,976.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,675.04 / $1,844.40 / $1,902.40	Professional		$1,675.04	$1,844.40	$1,902.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,682.00 / $2,123.88 / $2,969.60	Professional		$1,682.00	$2,123.88	$2,969.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $1,454.64 / $5,510.00	Facility		$696.00	$1,454.64	$5,510.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $3,352.40	Professional		$696.00	$696.00	$3,352.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,123.88 / $4,561.35	Facility		$1,392.00	$2,123.88	$4,561.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $2,123.88 / $2,969.60	Professional		$1,392.00	$2,123.88	$2,969.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.20 / $1,972.00 / $2,366.40	Professional		$1,357.20	$1,972.00	$2,366.40
United Facility/Professional Facility Modifier Low / Median / High Price $417.60 / $487.20 / $696.00	Facility		$417.60	$487.20	$696.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.20 / $696.00 / $1,044.00	Professional		$661.20	$696.00	$1,044.00