Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $252.00 / $639.17	Facility		$73.37	$252.00	$639.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $471.77	Professional		$48.42	$48.42	$471.77
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 $105.94 / $116.66 / $120.33	Professional		$105.94	$116.66	$120.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $98.00 / $98.00	Facility		$98.00	$98.00	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $134.53 / $187.83	Professional		$121.00	$134.53	$187.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $186.46 / $348.51	Facility		$44.02	$186.46	$348.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $44.02 / $240.94	Professional		$44.02	$44.02	$240.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $141.61 / $187.83	Facility		$88.04	$141.61	$187.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $135.79 / $187.09	Professional		$88.04	$135.79	$187.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $124.73 / $149.66	Professional		$85.84	$124.73	$149.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $44.02 / $146.74	Professional		$41.82	$44.02	$146.74