Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.89 / $198.89 / $213.05	Facility		$198.89	$198.89	$213.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.89 / $198.89 / $198.89	Professional		$198.89	$198.89	$198.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $444.30 / $859.42	Facility		$337.80	$444.30	$859.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.14 / $479.14 / $494.20	Professional		$435.14	$479.14	$494.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $547.70 / $684.62	Professional		$361.62	$547.70	$684.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $198.89 / $1,431.41	Facility		$108.49	$198.89	$1,431.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $870.90	Professional		$180.81	$180.81	$870.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $551.09 / $660.44	Facility		$361.62	$551.09	$660.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $593.03 / $771.46	Professional		$361.62	$593.03	$771.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.58 / $352.58 / $614.75	Professional		$352.58	$352.58	$614.75
United Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $180.81 / $587.63	Professional		$171.77	$180.81	$587.63