Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.20 / $343.20 / $520.00	Facility		$343.20	$343.20	$520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.20 / $343.20 / $3,343.60	Professional		$343.20	$343.20	$3,343.60
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 $750.88 / $826.79 / $852.79	Professional		$750.88	$826.79	$852.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $953.47 / $1,331.20	Professional		$754.00	$953.47	$1,331.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $780.53 / $2,470.00	Facility		$312.00	$780.53	$2,470.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $1,502.80	Professional		$312.00	$312.00	$1,502.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,003.65 / $2,041.19	Facility		$624.00	$1,003.65	$2,041.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $953.47 / $1,331.20	Professional		$624.00	$953.47	$1,331.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $884.00 / $1,060.80	Professional		$608.40	$884.00	$1,060.80
United Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $312.00 / $1,014.00	Professional		$296.39	$312.00	$1,014.00