Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $147.30 / $148.91	Facility		$147.30	$147.30	$148.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $147.02 / $191.49	Professional		$113.09	$147.02	$191.49
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 $268.45 / $289.88 / $297.13	Professional		$268.45	$289.88	$297.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $166.43 / $855.48	Facility		$166.43	$166.43	$855.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $340.70 / $452.81	Professional		$121.82	$340.70	$452.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.57 / $257.77 / $350.09	Facility		$132.57	$257.77	$350.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $257.18 / $1,029.11	Professional		$128.59	$257.18	$1,029.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.07 / $328.06 / $423.83	Facility		$183.07	$328.06	$423.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $328.06 / $398.73	Professional		$146.00	$328.06	$398.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $153.40 / $273.82	Professional		$42.40	$153.40	$273.82
United Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $275.29 / $369.10	Professional		$165.29	$275.29	$369.10