Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $92.87 / $147.63	Facility		$92.87	$92.87	$147.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $147.63 / $536.84	Professional		$92.87	$147.63	$536.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $892.29 / $1,725.99	Facility		$678.41	$892.29	$1,725.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $188.90 / $308.22	Professional		$98.76	$188.90	$308.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.06 / $162.06 / $162.06	Facility		$162.06	$162.06	$162.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $306.79 / $453.33	Professional		$175.32	$306.79	$453.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.53 / $230.75 / $373.74	Facility		$111.53	$230.75	$373.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.14 / $322.50 / $900.00	Professional		$190.14	$322.50	$900.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $178.27 / $270.16 / $434.76	Facility		$178.27	$270.16	$434.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $303.64 / $422.56	Professional		$211.83	$303.64	$422.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $186.11 / $333.40	Professional		$118.69	$186.11	$333.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.14 / $324.70 / $409.53	Professional		$190.14	$324.70	$409.53