Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.28 / $121.63 / $499.84	Facility		$80.28	$121.63	$499.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $80.28 / $782.08	Professional		$80.28	$80.28	$782.08
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 $175.63 / $193.38 / $199.47	Professional		$175.63	$193.38	$199.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $247.80 / $311.37	Professional		$145.96	$247.80	$311.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $248.36 / $918.65	Facility		$72.98	$248.36	$918.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $72.98 / $478.82	Professional		$72.98	$72.98	$478.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.96 / $250.56 / $340.26	Facility		$145.96	$250.56	$340.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $247.80 / $328.47	Professional		$145.96	$247.80	$328.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $206.77 / $248.13	Professional		$142.31	$206.77	$248.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $72.98 / $243.26	Professional		$69.33	$72.98	$243.26