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 $337.80 / $444.30 / $859.42	Facility		$337.80	$444.30	$859.42
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 / $517.32 / $619.96	Facility		$339.46	$517.32	$619.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $556.70 / $724.17	Professional		$339.46	$556.70	$724.17
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 $282.88 / $282.88 / $282.88	Facility		$282.88	$282.88	$282.88
United Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $169.73 / $551.62	Professional		$161.24	$169.73	$551.62