Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.79 / $289.79 / $289.79	Facility		$289.79	$289.79	$289.79
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 $591.89 / $651.74 / $672.24	Professional		$591.89	$651.74	$672.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $744.19 / $930.24	Professional		$491.88	$744.19	$930.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.94 / $683.99 / $1,947.03	Facility		$245.94	$683.99	$1,947.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $245.94 / $1,316.25	Professional		$245.94	$245.94	$1,316.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $491.88 / $844.39 / $1,285.61	Facility		$491.88	$844.39	$1,285.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $884.03 / $1,049.33	Professional		$491.88	$884.03	$1,049.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $479.58 / $479.58 / $836.20	Professional		$479.58	$479.58	$836.20
United Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $245.94 / $368.91	Professional		$233.64	$245.94	$368.91