Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.18 / $122.18 / $185.12	Facility		$122.18	$122.18	$185.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $122.18 / $1,190.32	Professional		$122.18	$122.18	$1,190.32
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 $267.31 / $294.33 / $303.60	Professional		$267.31	$294.33	$303.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $339.44 / $473.91	Professional		$268.00	$339.44	$473.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $277.83 / $879.32	Facility		$111.07	$277.83	$879.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $535.00	Professional		$111.07	$111.07	$535.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.14 / $352.42 / $473.91	Facility		$222.14	$352.42	$473.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $339.44 / $473.91	Professional		$222.14	$339.44	$473.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $314.70 / $377.64	Professional		$216.59	$314.70	$377.64
United Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $111.07 / $360.98	Professional		$105.52	$111.07	$360.98