Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.29 / $302.33 / $818.16	Facility		$105.29	$302.33	$818.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $447.00	Professional		$100.98	$100.98	$447.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.43 / $1,022.54 / $1,977.91	Facility		$777.43	$1,022.54	$1,977.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $200.46 / $205.47	Professional		$187.53	$200.46	$205.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.54 / $591.54 / $591.54	Facility		$591.54	$591.54	$591.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $238.70 / $310.27	Professional		$155.00	$238.70	$310.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $217.39 / $496.55	Facility		$100.98	$217.39	$496.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $199.00 / $664.64	Professional		$113.49	$199.00	$664.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $233.42 / $371.35	Facility		$186.21	$233.42	$371.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.82 / $220.16 / $281.41	Professional		$166.82	$220.16	$281.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $117.37 / $204.65	Professional		$115.81	$117.37	$204.65
United Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $199.00 / $255.13	Professional		$122.46	$199.00	$255.13