Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.07 / $275.07 / $294.66	Facility		$275.07	$275.07	$294.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.07 / $275.07 / $275.07	Professional		$275.07	$275.07	$275.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $104.38 / $201.90	Facility		$79.36	$104.38	$201.90
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 / $756.60 / $945.74	Professional		$500.14	$756.60	$945.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.07 / $627.91 / $1,979.71	Facility		$275.07	$627.91	$1,979.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $1,204.49	Professional		$250.07	$250.07	$1,204.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $729.37 / $1,075.52	Facility		$500.14	$729.37	$1,075.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $788.64 / $1,066.96	Professional		$500.14	$788.64	$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 $237.56 / $250.07 / $812.72	Professional		$237.56	$250.07	$812.72