Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $158.49	Professional		$112.20	$125.89	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,202.26	Facility		$467.74	$616.60	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $309.03	Professional		$288.40	$295.12	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $457.09	Professional		$123.03	$263.03	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $190.55 / $245.47	Facility		$87.10	$190.55	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $851.14	Professional		$151.36	$218.78	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $346.74	Professional		$281.84	$346.74	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $302.00	Professional		$263.03	$281.84	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $257.04	Professional		$186.21	$186.21	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $338.84	Professional		$147.91	$177.83	$338.84