Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $67.48 / $102.26	Facility		$67.48	$67.48	$102.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $67.48 / $657.53	Professional		$67.48	$67.48	$657.53
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 $147.66 / $162.59 / $167.71	Professional		$147.66	$162.59	$167.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $187.50 / $261.79	Professional		$148.00	$187.50	$261.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $153.52 / $1,569.67	Facility		$61.36	$153.52	$1,569.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $61.36 / $295.52	Professional		$61.36	$61.36	$295.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.71 / $194.68 / $261.79	Facility		$122.71	$194.68	$261.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $187.50 / $261.79	Professional		$122.71	$187.50	$261.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $173.84 / $208.61	Professional		$119.64	$173.84	$208.61
United Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $61.36 / $199.41	Professional		$58.29	$61.36	$199.41