Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $185.48 / $503.35	Facility		$28.81	$185.48	$503.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $28.81 / $280.67	Professional		$28.81	$28.81	$280.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $69.40 / $71.59	Professional		$63.03	$69.40	$71.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $88.93 / $111.74	Professional		$79.64	$88.93	$111.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $118.56 / $207.34	Facility		$26.19	$118.56	$207.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $26.19 / $172.10	Professional		$26.19	$26.19	$172.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $89.92 / $122.40	Facility		$52.38	$89.92	$122.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $89.92 / $122.40	Professional		$52.38	$89.92	$122.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $74.20 / $89.05	Professional		$51.07	$74.20	$89.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $26.19 / $87.30	Professional		$24.88	$26.19	$87.30