Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $507.18 / $1,409.38	Facility		$80.67	$507.18	$1,409.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $80.67 / $785.88	Professional		$80.67	$80.67	$785.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $194.33 / $200.44	Professional		$176.47	$194.33	$200.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.95 / $249.00 / $312.88	Professional		$221.95	$249.00	$312.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $331.96 / $580.54	Facility		$73.33	$331.96	$580.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $481.88	Professional		$73.33	$73.33	$481.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $251.77 / $342.77	Facility		$146.66	$251.77	$342.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $251.77 / $342.77	Professional		$146.66	$251.77	$342.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $207.77 / $249.33	Professional		$143.00	$207.77	$249.33
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $73.33 / $110.00	Professional		$69.67	$73.33	$110.00