Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.30 / $182.30 / $182.30	Facility		$182.30	$182.30	$182.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $182.30 / $1,057.25	Professional		$182.30	$182.30	$1,057.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,288.63 / $16,162.90 / $31,264.27	Facility		$12,288.63	$16,162.90	$31,264.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $292.41 / $397.88	Professional		$175.06	$292.41	$397.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $395.01 / $510.95	Professional		$252.64	$395.01	$510.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.30 / $320.48 / $1,775.00	Facility		$182.30	$320.48	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $427.13 / $1,248.85	Professional		$250.12	$427.13	$1,248.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $364.85 / $448.91 / $554.53	Facility		$364.85	$448.91	$554.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $418.32 / $523.66	Professional		$328.27	$418.32	$523.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $203.88 / $392.08	Professional		$54.25	$203.88	$392.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $432.90 / $591.13	Professional		$250.12	$432.90	$591.13