Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.08 / $503.61 / $1,366.67	Facility		$157.08	$503.61	$1,366.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $157.08 / $1,530.34	Professional		$157.08	$157.08	$1,530.34
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 $343.67 / $378.42 / $390.31	Professional		$343.67	$378.42	$390.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $436.40 / $609.28	Professional		$345.00	$436.40	$609.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $361.63 / $1,130.50	Facility		$142.80	$361.63	$1,130.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $142.80 / $476.00	Professional		$97.01	$142.80	$476.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.21 / $331.10 / $609.28	Facility		$203.21	$331.10	$609.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $341.40 / $606.90	Professional		$263.36	$341.40	$606.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $404.60 / $485.52	Professional		$278.45	$404.60	$485.52
United Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $142.80 / $315.27	Professional		$99.96	$142.80	$315.27