Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.97 / $429.97 / $429.97	Facility		$429.97	$429.97	$429.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.39 / $401.39 / $401.39	Professional		$401.39	$401.39	$401.39
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 $878.20 / $966.99 / $997.39	Professional		$878.20	$966.99	$997.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $1,104.54 / $1,380.67	Professional		$729.80	$1,104.54	$1,380.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.90 / $916.34 / $2,888.81	Facility		$364.90	$916.34	$2,888.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.90 / $364.90 / $1,757.61	Professional		$364.90	$364.90	$1,757.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $729.80 / $1,064.30 / $1,423.12	Facility		$729.80	$1,064.30	$1,423.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $1,196.88 / $1,520.43	Professional		$729.80	$1,196.88	$1,520.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $711.56 / $711.56 / $1,240.67	Professional		$711.56	$711.56	$1,240.67
United Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $255.43 / $364.90	Facility		$218.94	$255.43	$364.90
United Facility/Professional Professional Modifier Low / Median / High Price $346.66 / $364.90 / $547.35	Professional		$346.66	$364.90	$547.35