Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $887.79 / $2,409.21	Facility		$137.88	$887.79	$2,409.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $137.88 / $1,343.36	Professional		$137.88	$137.88	$1,343.36
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 $301.68 / $332.18 / $342.63	Professional		$301.68	$332.18	$342.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.28 / $425.63 / $534.84	Professional		$379.28	$425.63	$534.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.35 / $637.48 / $992.37	Facility		$125.35	$637.48	$992.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $125.35 / $823.71	Professional		$125.35	$125.35	$823.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.70 / $430.38 / $585.90	Facility		$250.70	$430.38	$585.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $430.38 / $585.90	Professional		$250.70	$430.38	$585.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $355.16 / $426.20	Professional		$244.44	$355.16	$426.20
United Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $87.75 / $125.35	Facility		$75.20	$87.75	$125.35
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $125.35 / $188.03	Professional		$87.75	$125.35	$188.03