Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.09 / $405.50 / $2,400.15	Facility		$125.09	$405.50	$2,400.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $631.55 / $1,052.70	Professional		$125.09	$631.55	$1,052.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,064.08 / $4,152.62 / $7,795.52	Facility		$3,064.08	$4,152.62	$7,795.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $303.47 / $1,397.28	Professional		$133.53	$303.47	$1,397.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $892.34 / $1,979.81	Professional		$204.30	$892.34	$1,979.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.76 / $576.48 / $1,366.09	Facility		$133.76	$576.48	$1,366.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $1,606.84 / $5,036.20	Professional		$785.00	$1,606.84	$5,036.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $1,390.38 / $2,058.42	Facility		$280.27	$1,390.38	$2,058.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.20 / $1,122.79 / $2,058.42	Professional		$231.20	$1,122.79	$2,058.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $746.54 / $1,600.54	Professional		$143.72	$746.54	$1,600.54
United Facility/Professional Professional Modifier Low / Median / High Price $824.02 / $1,553.75 / $2,006.49	Professional		$824.02	$1,553.75	$2,006.49