Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $121.85 / $121.85	Facility		$121.85	$121.85	$121.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $121.85 / $140.44	Professional		$115.01	$121.85	$140.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.04 / $687.23 / $1,206.05	Facility		$474.04	$687.23	$1,206.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.12 / $304.75 / $312.38	Professional		$285.12	$304.75	$312.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $278.82 / $442.15	Professional		$133.33	$278.82	$442.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $183.74 / $237.61	Facility		$82.66	$183.74	$237.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $286.68 / $854.73	Professional		$167.79	$286.68	$854.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $163.05 / $410.28	Facility		$68.78	$163.05	$410.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $273.00 / $350.34	Professional		$72.23	$273.00	$350.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $186.00 / $232.40	Professional		$103.90	$186.00	$232.40
United Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $286.68 / $360.64	Professional		$155.63	$286.68	$360.64