Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $192.00	Facility		$126.72	$126.72	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $126.72 / $1,234.56	Professional		$126.72	$126.72	$1,234.56
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 $277.25 / $305.27 / $314.88	Professional		$277.25	$305.27	$314.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $352.05 / $491.52	Professional		$230.40	$352.05	$491.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $288.42 / $912.00	Facility		$115.20	$288.42	$912.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $115.20 / $384.00	Professional		$50.20	$115.20	$384.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.34 / $252.29 / $557.74	Facility		$165.34	$252.29	$557.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $273.54 / $489.60	Professional		$136.38	$273.54	$489.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $326.39 / $391.68	Professional		$224.64	$326.39	$391.68
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $115.20 / $163.16	Professional		$50.20	$115.20	$163.16