Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $158.49	Professional		$72.44	$85.11	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $741.31	Facility		$288.40	$363.08	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $154.88	Professional		$144.54	$147.91	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $169.82 / $245.47	Professional		$64.57	$169.82	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $371.54	Facility		$74.13	$158.49	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $616.60	Professional		$91.20	$141.25	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $275.42	Professional		$154.88	$173.78	$275.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $275.42	Professional		$173.78	$181.97	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $134.90	Professional		$26.30	$56.23	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $234.42 / $588.84	Facility		$29.51	$234.42	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $186.21	Professional		$83.18	$120.23	$186.21