Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.39 / $181.39 / $194.31	Facility		$181.39	$181.39	$194.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $181.39 / $181.39	Professional		$181.39	$181.39	$181.39
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 $396.85 / $436.98 / $450.72	Professional		$396.85	$436.98	$450.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $499.39 / $624.24	Professional		$329.80	$499.39	$624.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.94 / $181.39 / $1,305.44	Facility		$98.94	$181.39	$1,305.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $794.26	Professional		$164.90	$164.90	$794.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $417.74 / $602.32	Facility		$329.80	$417.74	$602.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $540.86 / $687.08	Professional		$329.80	$540.86	$687.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.55 / $321.55 / $560.65	Professional		$321.55	$321.55	$560.65
United Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $164.90 / $549.66	Professional		$156.65	$164.90	$549.66