Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $268.63 / $753.75	Facility		$46.21	$268.63	$753.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $65.36 / $420.27	Professional		$43.14	$65.36	$420.27
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 $94.37 / $103.92 / $107.19	Professional		$94.37	$103.92	$107.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $133.13 / $167.32	Professional		$118.81	$133.13	$167.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $133.34 / $310.45	Facility		$39.22	$133.34	$310.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $39.22 / $257.70	Professional		$39.22	$39.22	$257.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $134.63 / $183.30	Facility		$78.43	$134.63	$183.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $134.63 / $183.30	Professional		$78.43	$134.63	$183.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $111.11 / $133.33	Professional		$76.47	$111.11	$133.33
United Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $39.22 / $58.82	Professional		$37.26	$39.22	$58.82