Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.13 / $401.91 / $1,090.68	Facility		$112.13	$401.91	$1,090.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $112.13 / $1,092.46	Professional		$112.13	$112.13	$1,092.46
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 $245.34 / $270.13 / $278.63	Professional		$245.34	$270.13	$278.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Facility		$152.00	$152.00	$152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $311.52 / $434.94	Professional		$246.00	$311.52	$434.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $288.60 / $807.03	Facility		$101.94	$288.60	$807.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $101.94 / $372.90	Professional		$77.42	$101.94	$372.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $256.77 / $434.94	Facility		$162.18	$256.77	$434.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $272.45 / $433.25	Professional		$203.88	$272.45	$433.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $288.83 / $346.60	Professional		$198.78	$288.83	$346.60
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $101.94 / $251.61	Professional		$71.36	$101.94	$251.61