Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $97.22	Facility		$64.17	$64.17	$97.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $64.17 / $625.13	Professional		$64.17	$64.17	$625.13
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 $140.38 / $154.58 / $159.44	Professional		$140.38	$154.58	$159.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $178.26 / $248.88	Professional		$141.00	$178.26	$248.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $145.94 / $461.80	Facility		$58.33	$145.94	$461.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $58.33 / $280.97	Professional		$58.33	$58.33	$280.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.66 / $187.64 / $381.63	Facility		$116.66	$187.64	$381.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $178.26 / $248.88	Professional		$116.66	$178.26	$248.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $165.27 / $198.33	Professional		$113.75	$165.27	$198.33
United Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $58.33 / $87.50	Professional		$55.42	$58.33	$87.50