Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $891.25	Facility		$724.44	$724.44	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $891.25	Professional		$724.44	$741.31	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,047.13	Facility		$776.25	$1,000.00	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,047.13	Professional		$977.24	$1,000.00	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $741.31 / $758.58	Facility		$676.08	$741.31	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,047.13	Professional		$758.58	$831.76	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,348.96	Facility		$724.44	$912.01	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $2,187.76	Professional		$1,778.28	$1,995.26	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,047.13 / $1,230.27	Professional		$239.88	$1,047.13	$1,230.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $794.33	Professional		$691.83	$691.83	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $5,248.07	Facility		$1,995.26	$3,311.31	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $2,137.96	Professional		$1,905.46	$1,995.26	$2,137.96