Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $170.97 / $287.08	Facility		$122.23	$170.97	$287.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $122.23 / $122.23	Professional		$122.23	$122.23	$122.23
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 $267.43 / $294.47 / $303.73	Professional		$267.43	$294.47	$303.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $339.50 / $474.11	Professional		$222.24	$339.50	$474.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $232.24 / $879.70	Facility		$111.12	$232.24	$879.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $111.12 / $535.23	Professional		$111.12	$111.12	$535.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $338.68 / $695.84	Facility		$222.24	$338.68	$695.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $339.50 / $474.11	Professional		$222.24	$339.50	$474.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $314.83 / $377.81	Professional		$216.68	$314.83	$377.81
United Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $77.78 / $111.12	Facility		$66.67	$77.78	$111.12
United Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $111.12 / $361.14	Professional		$105.56	$111.12	$361.14