Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.70 / $186.70 / $199.99	Facility		$186.70	$186.70	$199.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $186.70 / $186.70	Professional		$186.70	$186.70	$186.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.48 / $449.77 / $463.92	Professional		$408.48	$449.77	$463.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $514.41 / $643.01	Professional		$339.46	$514.41	$643.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $186.70 / $1,343.68	Facility		$101.84	$186.70	$1,343.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $169.73 / $817.52	Professional		$169.73	$169.73	$817.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $495.04 / $619.96	Facility		$339.46	$495.04	$619.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $556.71 / $707.20	Professional		$339.46	$556.71	$707.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $330.97 / $577.08	Professional		$330.97	$330.97	$577.08
United Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $118.81 / $169.73	Facility		$101.84	$118.81	$169.73
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $551.62	Professional		$118.81	$169.73	$551.62