Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.43 / $220.43 / $220.43	Facility		$220.43	$220.43	$220.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.60 / $220.43 / $220.43	Professional		$204.60	$220.43	$220.43
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 $180.97 / $193.44 / $198.28	Professional		$180.97	$193.44	$198.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $217.97 / $545.15	Professional		$64.30	$217.97	$545.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $198.39 / $407.80	Facility		$67.63	$198.39	$407.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $471.75 / $593.42	Professional		$98.11	$471.75	$593.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $209.73 / $576.19	Facility		$56.05	$209.73	$576.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $167.52 / $307.89	Professional		$62.61	$167.52	$307.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $31.98 / $55.75	Professional		$31.79	$31.98	$55.75
United Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $471.75 / $593.42	Professional		$128.04	$471.75	$593.42