Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.19 / $86.19 / $86.19	Facility		$86.19	$86.19	$86.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $193.84 / $199.93	Professional		$176.03	$193.84	$199.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $221.30 / $276.62	Professional		$146.29	$221.30	$276.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $226.20 / $579.07	Facility		$73.15	$226.20	$579.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $73.15 / $435.00	Professional		$73.15	$73.15	$435.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $251.13 / $424.88	Facility		$146.29	$251.13	$424.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $267.17 / $312.08	Professional		$146.29	$267.17	$312.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $248.70	Professional		$142.63	$142.63	$248.70
United Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $73.15 / $243.82	Professional		$69.48	$73.15	$243.82