Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $115.37 / $123.58	Facility		$115.37	$115.37	$123.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $115.37 / $115.37	Professional		$115.37	$115.37	$115.37
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 $252.41 / $277.94 / $286.69	Professional		$252.41	$277.94	$286.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $317.26 / $396.58	Professional		$209.77	$317.26	$396.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $262.45 / $830.35	Facility		$104.89	$262.45	$830.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $505.20	Professional		$104.89	$104.89	$505.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $339.31 / $493.44	Facility		$209.77	$339.31	$493.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $342.74 / $447.51	Professional		$209.77	$342.74	$447.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $204.53 / $356.61	Professional		$204.53	$204.53	$356.61
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $174.81	Professional		$73.42	$104.89	$174.81