Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $104.71 / $104.71	Facility		$95.50	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $154.88	Professional		$81.28	$104.71	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $812.83	Facility		$288.40	$389.05	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $190.55	Professional		$173.78	$177.83	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $295.12	Professional		$77.62	$190.55	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $186.21 / $446.68	Facility		$97.72	$186.21	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $741.31	Professional		$112.20	$173.78	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $331.13	Professional		$190.55	$234.42	$331.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $331.13	Professional		$177.83	$194.98	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $74.13 / $162.18	Professional		$26.30	$74.13	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $371.54 / $933.25	Facility		$30.20	$371.54	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $245.47	Professional		$109.65	$158.49	$245.47