Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.18 / $247.18 / $247.18	Facility		$247.18	$247.18	$247.18
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 $504.85 / $555.89 / $573.38	Professional		$504.85	$555.89	$573.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.16 / $635.16 / $793.97	Professional		$635.16	$635.16	$793.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $524.90 / $1,660.70	Facility		$209.77	$524.90	$1,660.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $209.77 / $1,010.40	Professional		$209.77	$209.77	$1,010.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $419.54 / $678.61 / $986.88	Facility		$419.54	$678.61	$986.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $419.54 / $685.49 / $895.03	Professional		$419.54	$685.49	$895.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.06 / $409.06 / $713.22	Professional		$409.06	$409.06	$713.22
United Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $146.84 / $209.77	Facility		$125.86	$146.84	$209.77
United Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $209.77 / $227.25	Professional		$199.28	$209.77	$227.25