Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.28 / $203.28 / $308.00	Facility		$203.28	$203.28	$308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $203.28 / $203.28	Professional		$203.28	$203.28	$203.28
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 $444.75 / $489.72 / $505.12	Professional		$444.75	$489.72	$505.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $564.61 / $788.48	Professional		$369.60	$564.61	$788.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $386.23 / $1,463.00	Facility		$184.80	$386.23	$1,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $184.80 / $890.12	Professional		$184.80	$184.80	$890.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $563.26 / $1,157.25	Facility		$369.60	$563.26	$1,157.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $564.61 / $788.48	Professional		$369.60	$564.61	$788.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $360.36 / $523.60 / $628.32	Professional		$360.36	$523.60	$628.32
United Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $184.80 / $277.20	Professional		$175.56	$184.80	$277.20