Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $111.97 / $111.97	Facility		$102.61	$111.97	$111.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $111.97 / $649.82	Professional		$104.49	$111.97	$649.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.08 / $1,534.27 / $2,880.22	Facility		$1,132.08	$1,534.27	$2,880.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $199.75 / $212.88	Professional		$184.19	$199.75	$212.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.50 / $589.50 / $589.50	Facility		$589.50	$589.50	$589.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $237.30 / $323.00	Professional		$116.26	$237.30	$323.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $208.62 / $500.82	Facility		$111.97	$208.62	$500.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $226.29 / $1,186.72	Professional		$126.71	$226.29	$1,186.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $251.52 / $427.23	Facility		$202.40	$251.52	$427.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $242.87 / $352.11	Professional		$190.67	$242.87	$352.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $84.42 / $176.77	Professional		$43.17	$84.42	$176.77
United Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $223.38 / $263.98	Professional		$126.71	$223.38	$263.98