Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $193.25	Facility		$127.55	$127.55	$193.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Professional		$127.55	$127.55	$127.55
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 $279.05 / $307.26 / $316.93	Professional		$279.05	$307.26	$316.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.90 / $354.26 / $494.72	Professional		$231.90	$354.26	$494.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.95 / $242.35 / $917.94	Facility		$115.95	$242.35	$917.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $115.95 / $558.49	Professional		$115.95	$115.95	$558.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.90 / $353.41 / $726.10	Facility		$231.90	$353.41	$726.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.90 / $354.26 / $494.72	Professional		$231.90	$354.26	$494.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $328.52 / $394.23	Professional		$226.10	$328.52	$394.23
United Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $231.90	Facility		$193.25	$193.25	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $115.95 / $376.84	Professional		$110.15	$115.95	$376.84