Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $1,251.51 / $3,396.25	Facility		$194.38	$1,251.51	$3,396.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.38 / $194.38 / $1,893.76	Professional		$194.38	$194.38	$1,893.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $444.30 / $859.42	Facility		$337.80	$444.30	$859.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.29 / $468.29 / $483.00	Professional		$425.29	$468.29	$483.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $600.03 / $753.97	Professional		$535.29	$600.03	$753.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.71 / $898.67 / $1,398.97	Facility		$176.71	$898.67	$1,398.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $176.71 / $1,161.17	Professional		$176.71	$176.71	$1,161.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $353.42 / $606.71 / $825.94	Facility		$353.42	$606.71	$825.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.42 / $606.71 / $825.94	Professional		$353.42	$606.71	$825.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.59 / $500.68 / $600.82	Professional		$344.59	$500.68	$600.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $176.71 / $265.07	Professional		$123.70	$176.71	$265.07