Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $110.24 / $110.24	Facility		$110.24	$110.24	$110.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $110.24 / $122.28	Professional		$102.56	$110.24	$122.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.24 / $416.41 / $730.77	Facility		$287.24	$416.41	$730.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.19 / $286.68 / $293.85	Professional		$268.19	$286.68	$293.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $251.26 / $380.09	Professional		$120.72	$251.26	$380.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $165.90 / $214.97	Facility		$110.24	$165.90	$214.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.06 / $269.67 / $748.56	Professional		$153.06	$269.67	$748.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.17 / $213.96 / $365.76	Facility		$123.17	$213.96	$365.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $248.92 / $329.54	Professional		$128.87	$248.92	$329.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $168.50 / $212.30	Professional		$153.80	$168.50	$212.30
United Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $266.48 / $336.18	Professional		$151.84	$266.48	$336.18