Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.00 / $693.00 / $1,050.00	Facility		$693.00	$693.00	$1,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $693.00 / $6,751.50	Professional		$693.00	$693.00	$6,751.50
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 $840.00 / $1,625.92 / $1,722.00	Professional		$840.00	$1,625.92	$1,722.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.36 / $1,906.83 / $2,383.54	Professional		$1,206.36	$1,906.83	$2,383.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,563.16 / $4,987.50	Facility		$630.00	$1,563.16	$4,987.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $630.00 / $3,012.39	Professional		$625.41	$630.00	$3,012.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,261.05 / $1,925.29 / $3,995.26	Facility		$1,261.05	$1,925.29	$3,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,925.29 / $2,688.00	Professional		$1,260.00	$1,925.29	$2,688.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,785.00 / $2,142.00	Professional		$1,228.50	$1,785.00	$2,142.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.50 / $630.00 / $2,032.58	Professional		$598.50	$630.00	$2,032.58