Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.99 / $626.99 / $626.99	Facility		$626.99	$626.99	$626.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.12 / $626.99 / $626.99	Professional		$530.12	$626.99	$626.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.12 / $950.52 / $960.13	Professional		$864.12	$950.52	$960.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $1,081.49 / $1,081.49	Facility		$551.53	$1,081.49	$1,081.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.53 / $1,081.49 / $1,667.68	Professional		$551.53	$1,081.49	$1,667.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $1,076.17 / $4,601.05	Facility		$495.00	$1,076.17	$4,601.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.28 / $490.49 / $769.49	Professional		$339.28	$490.49	$769.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,078.33 / $1,081.49 / $1,362.65	Facility		$1,078.33	$1,081.49	$1,362.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $899.24 / $1,278.11 / $2,228.05	Professional		$899.24	$1,278.11	$2,228.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.31 / $1,173.31 / $2,045.77	Professional		$1,150.31	$1,173.31	$2,045.77
United Facility/Professional Professional Modifier Low / Median / High Price $339.28 / $490.49 / $664.43	Professional		$339.28	$490.49	$664.43