Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $107.92 / $107.92	Facility		$107.92	$107.92	$107.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $107.92 / $117.87	Professional		$100.94	$107.92	$117.87
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 $118.03 / $247.09 / $449.91	Professional		$118.03	$247.09	$449.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.14 / $167.28 / $417.26	Facility		$93.14	$167.28	$417.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.42 / $320.00 / $1,584.74	Professional		$176.42	$320.00	$1,584.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $141.88 / $448.07	Facility		$78.31	$141.88	$448.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $247.09 / $360.84	Professional		$82.29	$247.09	$360.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $374.00 / $468.90	Professional		$210.10	$374.00	$468.90
United Facility/Professional Professional Modifier Low / Median / High Price $176.42 / $304.00 / $415.43	Professional		$176.42	$304.00	$415.43