Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.69 / $289.69 / $1,303.95	Facility		$289.69	$289.69	$1,303.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.69 / $289.69 / $2,822.32	Professional		$289.69	$289.69	$2,822.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.74 / $581.01 / $1,123.85	Facility		$441.74	$581.01	$1,123.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.13 / $679.69 / $719.85	Professional		$351.13	$679.69	$719.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.72 / $1,498.36 / $2,960.45	Professional		$526.72	$1,498.36	$2,960.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.69 / $903.23 / $6,102.49	Facility		$289.69	$903.23	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $263.36 / $1,740.07	Professional		$263.36	$263.36	$1,740.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $566.41 / $904.20 / $2,307.81	Facility		$566.41	$904.20	$2,307.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $961.95 / $1,564.74	Professional		$566.41	$961.95	$1,564.74
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 Professional Modifier Low / Median / High Price $250.19 / $263.36 / $1,174.09	Professional		$250.19	$263.36	$1,174.09