Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $90.42 / $137.00	Facility		$90.42	$90.42	$137.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $90.42 / $880.91	Professional		$90.42	$90.42	$880.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $444.30 / $859.42	Facility		$337.80	$444.30	$859.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $217.83 / $224.68	Professional		$197.83	$217.83	$224.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $251.21 / $350.72	Professional		$164.40	$251.21	$350.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $205.62 / $650.75	Facility		$82.20	$205.62	$650.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.20 / $395.93	Professional		$82.20	$82.20	$395.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $264.43 / $538.98	Facility		$164.40	$264.43	$538.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $251.21 / $350.72	Professional		$164.40	$251.21	$350.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.29 / $232.90 / $279.48	Professional		$160.29	$232.90	$279.48
United Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $57.54 / $82.20	Facility		$49.32	$57.54	$82.20
United Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $82.20 / $267.14	Professional		$78.09	$82.20	$267.14