Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $66.73 / $101.12	Facility		$66.73	$66.73	$101.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $66.73 / $650.20	Professional		$66.73	$66.73	$650.20
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 $146.00 / $160.78 / $165.84	Professional		$146.00	$160.78	$165.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $185.41 / $258.87	Professional		$147.00	$185.41	$258.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $151.88 / $655.68	Facility		$60.67	$151.88	$655.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $60.67 / $292.24	Professional		$60.67	$60.67	$292.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $192.51 / $258.87	Facility		$121.34	$192.51	$258.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $185.41 / $258.87	Professional		$121.34	$185.41	$258.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $171.90 / $206.28	Professional		$118.31	$171.90	$206.28
United Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $60.67 / $91.01	Professional		$57.64	$60.67	$91.01