Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.76 / $115.76 / $175.40	Facility		$115.76	$115.76	$175.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
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 $253.28 / $278.88 / $287.66	Professional		$253.28	$278.88	$287.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.48 / $321.54 / $449.02	Professional		$210.48	$321.54	$449.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $219.94 / $833.15	Facility		$105.24	$219.94	$833.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $105.24 / $506.91	Professional		$105.24	$105.24	$506.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.48 / $320.76 / $659.02	Facility		$210.48	$320.76	$659.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.48 / $321.54 / $449.02	Professional		$210.48	$321.54	$449.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $298.18 / $357.82	Professional		$205.22	$298.18	$357.82
United Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $192.94 / $701.60	Facility		$105.24	$192.94	$701.60
United Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $105.24 / $342.03	Professional		$99.98	$105.24	$342.03