Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.92 / $507.92 / $769.58	Facility		$507.92	$507.92	$769.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.92 / $507.92 / $4,948.39	Professional		$507.92	$507.92	$4,948.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.18 / $1,162.94 / $2,249.50	Facility		$884.18	$1,162.94	$2,249.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.27 / $1,223.63 / $1,262.09	Professional		$1,111.27	$1,223.63	$1,262.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,411.09 / $1,970.12	Professional		$1,116.00	$1,411.09	$1,970.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $461.75 / $1,155.66 / $3,655.51	Facility		$461.75	$1,155.66	$3,655.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $461.75 / $2,224.09	Professional		$461.75	$461.75	$2,224.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $923.50 / $1,465.08 / $3,020.87	Facility		$923.50	$1,465.08	$3,020.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $923.50 / $1,411.09 / $1,970.12	Professional		$923.50	$1,411.09	$1,970.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $900.41 / $1,308.29 / $1,569.94	Professional		$900.41	$1,308.29	$1,569.94
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $461.75 / $692.62	Professional		$323.22	$461.75	$692.62