Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.22 / $99.22 / $150.33	Facility		$99.22	$99.22	$150.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $99.22 / $99.22	Professional		$99.22	$99.22	$99.22
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 $217.06 / $239.02 / $246.53	Professional		$217.06	$239.02	$246.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $275.58 / $384.84	Professional		$180.40	$275.58	$384.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.20 / $188.52 / $883.04	Facility		$90.20	$188.52	$883.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $90.20 / $434.45	Professional		$90.20	$90.20	$434.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.40 / $274.92 / $564.83	Facility		$180.40	$274.92	$564.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $275.58 / $384.84	Professional		$180.40	$275.58	$384.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $255.56 / $306.67	Professional		$175.89	$255.56	$306.67
United Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $90.20 / $300.66	Professional		$85.69	$90.20	$300.66