Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $271.49 / $271.49	Facility		$271.49	$271.49	$271.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.74 / $581.01 / $1,123.85	Facility		$441.74	$581.01	$1,123.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $610.54 / $629.75	Professional		$554.50	$610.54	$629.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $697.19 / $871.49	Professional		$460.80	$697.19	$871.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $253.44 / $1,824.00	Facility		$138.24	$253.44	$1,824.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $115.20 / $554.88	Professional		$115.20	$115.20	$554.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $420.78 / $583.67 / $791.04	Facility		$420.78	$583.67	$791.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $420.78 / $583.67 / $960.00	Professional		$420.78	$583.67	$960.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.28 / $449.28 / $783.36	Professional		$449.28	$449.28	$783.36
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $115.20 / $374.40	Professional		$109.44	$115.20	$374.40