Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.58 / $329.58 / $329.58	Facility		$329.58	$329.58	$329.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.74 / $581.01 / $1,123.85	Facility		$441.74	$581.01	$1,123.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.14 / $741.21 / $764.51	Professional		$673.14	$741.21	$764.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $846.68 / $1,058.34	Professional		$559.40	$846.68	$1,058.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $700.21 / $2,214.31	Facility		$279.70	$700.21	$2,214.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $279.70 / $1,347.23	Professional		$279.70	$279.70	$1,347.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $904.84 / $1,315.88	Facility		$559.40	$904.84	$1,315.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $914.00 / $1,193.40	Professional		$559.40	$914.00	$1,193.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.41 / $545.41 / $950.99	Professional		$545.41	$545.41	$950.99
United Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $279.70 / $419.55	Professional		$265.72	$279.70	$419.55