Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $758.58	Professional		$478.63	$549.54	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,698.24	Facility		$954.99	$954.99	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,096.48	Professional		$489.78	$812.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,862.09	Professional		$512.86	$912.01	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,122.02	Facility		$512.86	$776.25	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $3,890.45	Professional		$588.84	$812.83	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,348.96	Professional		$691.83	$1,071.52	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,288.25	Professional		$758.58	$1,202.26	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $114.82	Professional		$87.10	$97.72	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,047.13	Professional		$407.38	$724.44	$1,047.13