Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.08 / $1,468.43 / $3,984.94	Facility		$228.08	$1,468.43	$3,984.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.08 / $228.08 / $2,222.02	Professional		$228.08	$228.08	$2,222.02
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 $499.00 / $549.46 / $566.73	Professional		$499.00	$549.46	$566.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.34 / $704.03 / $884.66	Professional		$627.34	$704.03	$884.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.34 / $1,054.44 / $1,641.46	Facility		$207.34	$1,054.44	$1,641.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $207.34 / $1,362.46	Professional		$207.34	$207.34	$1,362.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $414.68 / $711.87 / $969.12	Facility		$414.68	$711.87	$969.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $414.68 / $711.87 / $969.12	Professional		$414.68	$711.87	$969.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $404.32 / $587.47 / $704.96	Professional		$404.32	$587.47	$704.96
United Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $207.34 / $311.01	Professional		$196.97	$207.34	$311.01