Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Facility		$872.08	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $915.68 / $915.68	Professional		$500.00	$915.68	$915.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.55 / $987.28 / $3,549.39	Facility		$888.55	$987.28	$3,549.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.91 / $987.27 / $987.27	Professional		$937.91	$987.27	$987.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.85 / $735.08 / $872.08	Facility		$670.85	$735.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $1,053.06 / $1,210.53	Professional		$872.08	$1,053.06	$1,210.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $591.66 / $915.68 / $1,831.36	Facility		$591.66	$915.68	$1,831.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.06 / $1,053.06 / $1,240.79	Facility		$240.06	$1,053.06	$1,240.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.07 / $1,010.97 / $1,240.79	Professional		$245.07	$1,010.97	$1,240.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.40 / $631.40 / $765.60	Professional		$631.40	$631.40	$765.60
United Facility/Professional Professional Modifier Low / Median / High Price $828.48 / $872.08 / $872.08	Professional		$828.48	$872.08	$872.08