Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.90 / $403.47 / $1,094.91	Facility		$222.90	$403.47	$1,094.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.90 / $222.90 / $2,171.60	Professional		$222.90	$222.90	$2,171.60
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 $487.68 / $536.99 / $553.88	Professional		$487.68	$536.99	$553.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $619.26 / $864.59	Professional		$490.00	$619.26	$864.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.86 / $295.48 / $1,604.22	Facility		$193.86	$295.48	$1,604.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $202.64 / $675.46	Professional		$77.72	$202.64	$675.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.81 / $440.89 / $864.59	Facility		$162.81	$440.89	$864.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.69 / $443.78 / $861.21	Professional		$211.69	$443.78	$861.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $395.14 / $574.14 / $688.97	Professional		$395.14	$574.14	$688.97
United Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $202.64 / $303.95	Professional		$141.85	$202.64	$303.95