Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.69 / $62.69 / $94.99	Facility		$62.69	$62.69	$94.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $62.69 / $610.79	Professional		$62.69	$62.69	$610.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $151.03 / $155.78	Professional		$137.16	$151.03	$155.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $174.17 / $243.17	Professional		$138.00	$174.17	$243.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $142.71 / $451.20	Facility		$56.99	$142.71	$451.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $56.99 / $274.52	Professional		$56.99	$56.99	$274.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $183.34 / $372.87	Facility		$113.99	$183.34	$372.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $174.17 / $243.17	Professional		$113.99	$174.17	$243.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $161.47 / $193.78	Professional		$111.14	$161.47	$193.78
United Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $56.99 / $185.23	Professional		$54.14	$56.99	$185.23