Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.87 / $340.87 / $340.87	Facility		$340.87	$340.87	$340.87
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 $696.21 / $766.60 / $790.71	Professional		$696.21	$766.60	$790.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.57 / $876.06 / $1,095.07	Professional		$578.57	$876.06	$1,095.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.57 / $318.20 / $2,290.17	Facility		$173.57	$318.20	$2,290.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $124.39 / $599.13	Professional		$124.39	$124.39	$599.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $578.57 / $881.72 / $1,056.65	Facility		$578.57	$881.72	$1,056.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.57 / $948.82 / $1,234.28	Professional		$578.57	$948.82	$1,234.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.10 / $564.10 / $983.57	Professional		$564.10	$564.10	$983.57
United Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $124.39 / $404.25	Professional		$118.17	$124.39	$404.25