Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.81 / $99.81 / $99.81	Facility		$99.81	$99.81	$99.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $99.81 / $99.81	Professional		$99.81	$99.81	$99.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.86 / $670.61 / $1,297.17	Facility		$509.86	$670.61	$1,297.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.33 / $512.36 / $525.16	Professional		$479.33	$512.36	$525.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.90 / $588.99 / $738.85	Professional		$195.90	$588.99	$738.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.81 / $206.22 / $682.45	Facility		$99.81	$206.22	$682.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.79 / $481.98 / $1,194.00	Professional		$285.79	$481.98	$1,194.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $230.94 / $606.64	Facility		$129.50	$230.94	$606.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $260.86 / $588.99	Professional		$129.50	$260.86	$588.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $71.36 / $124.42	Professional		$69.80	$71.36	$124.42
United Facility/Professional Professional Modifier Low / Median / High Price $285.79 / $481.98 / $617.92	Professional		$285.79	$481.98	$617.92