Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.45 / $224.45 / $224.45	Facility		$224.45	$224.45	$224.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $224.45 / $280.80	Professional		$165.58	$224.45	$280.80
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 $207.94 / $222.25 / $227.81	Professional		$207.94	$222.25	$227.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $255.50 / $569.52	Professional		$98.39	$255.50	$569.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $235.11 / $415.23	Facility		$91.03	$235.11	$415.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $492.59 / $1,272.00	Professional		$149.99	$492.59	$1,272.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $135.87 / $569.52	Facility		$77.52	$135.87	$569.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $199.65 / $569.52	Professional		$81.20	$199.65	$569.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $165.30 / $390.80	Professional		$132.19	$165.30	$390.80
United Facility/Professional Professional Modifier Low / Median / High Price $303.13 / $486.78 / $614.09	Professional		$303.13	$486.78	$614.09