Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $510.40 / $730.30	Facility		$300.00	$510.40	$730.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $416.78 / $1,019.20	Professional		$279.00	$416.78	$1,019.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.74 / $582.16 / $1,123.85	Facility		$441.74	$582.16	$1,123.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.83 / $662.67 / $683.51	Professional		$601.83	$662.67	$683.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $757.05 / $946.32	Professional		$500.14	$757.05	$946.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.04 / $416.78 / $1,979.71	Facility		$150.04	$416.78	$1,979.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.45 / $227.34 / $1,083.34	Professional		$222.45	$227.34	$1,083.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $762.19 / $913.41	Facility		$500.14	$762.19	$913.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $820.19 / $1,066.96	Professional		$500.14	$820.19	$1,066.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.63 / $487.63 / $850.23	Professional		$487.63	$487.63	$850.23
United Facility/Professional Professional Modifier Low / Median / High Price $215.97 / $227.34 / $722.96	Professional		$215.97	$227.34	$722.96