Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $7,079.46	Professional		$676.08	$977.24	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,513.56	Professional		$1,348.96	$1,479.11	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,737.80	Facility		$758.58	$758.58	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,737.80 / $2,630.27	Professional		$758.58	$1,737.80	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $6,456.54	Facility		$977.24	$1,698.24	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,548.82	Professional		$501.19	$724.44	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $3,801.89	Professional		$1,698.24	$2,137.96	$3,801.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $3,801.89	Professional		$2,137.96	$2,344.23	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,235.94	Professional		$1,548.82	$2,041.74	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,412.54	Facility		$467.74	$724.44	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,148.15	Professional		$512.86	$724.44	$1,148.15