Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.62 / $597.91 / $1,811.25	Facility		$394.62	$597.91	$1,811.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.62 / $448.43 / $585.25	Professional		$394.62	$448.43	$585.25
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 $478.32 / $925.86 / $980.57	Professional		$478.32	$925.86	$980.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.82 / $1,085.60 / $1,357.01	Professional		$686.82	$1,085.60	$1,357.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $1,315.40 / $3,191.10	Facility		$358.75	$1,315.40	$3,191.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $358.75 / $717.49	Professional		$53.90	$358.75	$717.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $718.09 / $1,096.32 / $2,295.07	Facility		$718.09	$1,096.32	$2,295.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,096.32 / $1,530.65	Professional		$717.49	$1,096.32	$1,530.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $699.55 / $1,016.45 / $1,219.74	Professional		$699.55	$1,016.45	$1,219.74
United Facility/Professional Professional Modifier Low / Median / High Price $156.49 / $358.75 / $538.12	Professional		$156.49	$358.75	$538.12