Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $121.94 / $121.94	Facility		$121.94	$121.94	$121.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $116.59 / $124.71	Professional		$14.51	$116.59	$124.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.51 / $512.37 / $610.87	Facility		$435.51	$512.37	$610.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $189.38 / $255.91	Professional		$112.59	$189.38	$255.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $214.46 / $290.74	Professional		$40.13	$214.46	$290.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $121.94 / $213.40	Facility		$22.24	$121.94	$213.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $218.95 / $806.50	Professional		$23.82	$218.95	$806.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.41 / $214.46 / $233.95	Facility		$168.41	$214.46	$233.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $214.46 / $290.74	Professional		$168.41	$214.46	$290.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $23.82 / $28.70	Professional		$23.82	$23.82	$28.70
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $194.62 / $298.38	Professional		$23.82	$194.62	$298.38