Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $99.00 / $106.05	Facility		$99.00	$99.00	$106.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $444.30 / $859.42	Facility		$337.80	$444.30	$859.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $238.50 / $246.00	Professional		$216.59	$238.50	$246.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $180.00 / $195.94	Professional		$156.75	$180.00	$195.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $225.11 / $712.50	Facility		$99.00	$225.11	$712.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $433.50	Professional		$90.00	$90.00	$433.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $291.14 / $423.41	Facility		$180.00	$291.14	$423.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $294.10 / $384.00	Professional		$180.00	$294.10	$384.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $306.00	Professional		$175.50	$175.50	$306.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $90.00 / $292.50	Professional		$85.50	$90.00	$292.50