Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.17 / $448.17 / $1,303.95	Facility		$448.17	$448.17	$1,303.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.17 / $967.50 / $1,145.00	Professional		$448.17	$967.50	$1,145.00
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 $543.24 / $1,051.51 / $1,113.64	Professional		$543.24	$1,051.51	$1,113.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.86 / $1,738.37 / $2,960.45	Professional		$814.86	$1,738.37	$2,960.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.17 / $1,396.82 / $6,102.49	Facility		$448.17	$1,396.82	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $2,691.98	Professional		$407.43	$407.43	$2,691.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $876.26 / $1,398.84 / $3,570.29	Facility		$876.26	$1,398.84	$3,570.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $876.26 / $1,488.19 / $1,851.30	Professional		$876.26	$1,488.19	$1,851.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.62 / $2,216.71 / $2,660.06	Professional		$1,525.62	$2,216.71	$2,660.06
United Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $746.96 / $3,018.00	Facility		$407.43	$746.96	$3,018.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $407.43 / $1,358.10	Professional		$387.06	$407.43	$1,358.10