Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.90 / $104.46 / $104.46	Facility		$94.90	$104.46	$104.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $104.46 / $653.85	Professional		$88.39	$104.46	$653.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.33 / $392.13 / $736.13	Facility		$289.33	$392.13	$736.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $184.50 / $204.28	Professional		$172.61	$184.50	$204.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.44 / $544.44 / $544.44	Facility		$544.44	$544.44	$544.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $218.40 / $287.98	Professional		$113.04	$218.40	$287.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.46 / $193.25 / $444.57	Facility		$104.46	$193.25	$444.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $204.23 / $734.89	Professional		$125.68	$204.23	$734.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $235.28 / $332.85	Facility		$184.00	$235.28	$332.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $209.22 / $284.64	Professional		$179.00	$209.22	$284.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $76.61 / $161.06	Professional		$26.12	$76.61	$161.06
United Facility/Professional Facility Modifier Low / Median / High Price $371.80 / $846.20 / $940.23	Facility		$371.80	$846.20	$940.23
United Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $181.30 / $256.89	Professional		$112.08	$181.30	$256.89