Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $363.08	Facility		$87.10	$239.88	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $489.78	Professional		$46.77	$60.26	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $251.19 / $467.74	Facility		$223.87	$251.19	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $120.23	Professional		$107.15	$114.82	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $173.78	Professional		$87.10	$141.25	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $165.96 / $346.74	Facility		$43.65	$165.96	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $239.88	Professional		$30.90	$43.65	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $186.21	Professional		$151.36	$186.21	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $630.96	Facility		$537.03	$537.03	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $69.18 / $147.91	Facility		$30.90	$69.18	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $74.13	Professional		$41.69	$43.65	$74.13