Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $634.54 / $1,721.98	Facility		$114.00	$634.54	$1,721.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $1,110.65	Professional		$114.00	$114.00	$1,110.65
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 $249.41 / $274.63 / $283.27	Professional		$249.41	$274.63	$283.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $316.72 / $442.19	Professional		$295.00	$316.72	$442.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.64 / $455.64 / $820.47	Facility		$103.64	$455.64	$820.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $103.64 / $588.75	Professional		$103.64	$103.64	$588.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.28 / $333.39 / $442.19	Facility		$207.28	$333.39	$442.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $331.82 / $440.46	Professional		$207.28	$331.82	$440.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.09 / $293.64 / $352.37	Professional		$202.09	$293.64	$352.37
United Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $103.64 / $397.25	Professional		$98.46	$103.64	$397.25