Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.85 / $163.85 / $175.52	Facility		$163.85	$163.85	$175.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $163.85 / $163.85	Professional		$163.85	$163.85	$163.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $603.17 / $1,166.74	Facility		$458.59	$603.17	$1,166.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.97 / $312.07 / $319.88	Professional		$291.97	$312.07	$319.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.24 / $936.24 / $936.24	Facility		$936.24	$936.24	$936.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.44 / $399.46 / $698.13	Professional		$321.44	$399.46	$698.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $350.31 / $1,636.80	Facility		$115.01	$350.31	$1,636.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.44 / $348.84 / $1,204.57	Professional		$232.44	$348.84	$1,204.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.03 / $340.29 / $637.73	Facility		$230.03	$340.29	$637.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $244.18 / $379.16 / $520.02	Professional		$244.18	$379.16	$520.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.37 / $333.45 / $581.40	Professional		$269.37	$333.45	$581.40
United Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $344.72 / $447.23	Professional		$214.67	$344.72	$447.23