Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $63.89 / $175.33	Facility		$48.21	$63.89	$175.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $68.01 / $352.29	Professional		$58.19	$68.01	$352.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.77 / $278.87 / $523.51	Facility		$205.77	$278.87	$523.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $113.26 / $116.38	Professional		$104.89	$113.26	$116.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $182.00 / $334.20	Facility		$182.00	$182.00	$334.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $134.00 / $173.56	Professional		$54.54	$134.00	$173.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $105.18 / $176.95	Facility		$57.31	$105.18	$176.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $115.08 / $480.87	Professional		$76.27	$115.08	$480.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.74 / $138.00 / $223.23	Facility		$114.74	$138.00	$223.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $134.00 / $166.65	Professional		$114.74	$134.00	$166.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $56.89 / $111.63	Professional		$21.52	$56.89	$111.63
United Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $115.08 / $146.93	Professional		$72.53	$115.08	$146.93