Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.58 / $292.58 / $313.42	Facility		$292.58	$292.58	$313.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $292.58 / $292.58	Professional		$292.58	$292.58	$292.58
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 $640.13 / $700.91 / $727.02	Professional		$640.13	$700.91	$727.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.90 / $1,006.13 / $1,134.86	Professional		$804.90	$1,006.13	$1,134.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.59 / $292.58 / $2,105.71	Facility		$159.59	$292.58	$2,105.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $265.99 / $1,281.17	Professional		$265.99	$265.99	$1,281.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $531.97 / $620.63 / $1,037.34	Facility		$531.97	$620.63	$1,037.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $531.97 / $913.22 / $1,134.86	Professional		$531.97	$913.22	$1,134.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $518.66 / $518.66 / $904.35	Professional		$518.66	$518.66	$904.35
United Facility/Professional Professional Modifier Low / Median / High Price $252.69 / $265.99 / $398.98	Professional		$252.69	$265.99	$398.98