Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $115.37 / $174.81	Facility		$115.37	$115.37	$174.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $115.37 / $1,124.03	Professional		$115.37	$115.37	$1,124.03
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 $252.41 / $277.94 / $286.69	Professional		$252.41	$277.94	$286.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $320.52 / $447.51	Professional		$209.77	$320.52	$447.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $262.70 / $830.35	Facility		$104.89	$262.70	$830.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $505.20	Professional		$104.89	$104.89	$505.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $337.39 / $686.20	Facility		$209.77	$337.39	$686.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $320.52 / $447.51	Professional		$209.77	$320.52	$447.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $297.18 / $356.61	Professional		$204.53	$297.18	$356.61
United Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $104.89 / $349.62	Professional		$99.64	$104.89	$349.62