Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.39 / $90.42 / $207.01	Facility		$84.39	$90.42	$207.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $90.42 / $880.91	Professional		$90.42	$90.42	$880.91
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 $197.83 / $217.83 / $224.68	Professional		$197.83	$217.83	$224.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Facility		$224.00	$224.00	$224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $251.21 / $350.72	Professional		$199.00	$251.21	$350.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $171.80 / $650.75	Facility		$49.32	$171.80	$650.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.20 / $395.93	Professional		$82.20	$82.20	$395.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $260.81 / $350.72	Facility		$164.40	$260.81	$350.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $251.21 / $350.72	Professional		$164.40	$251.21	$350.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.29 / $232.90 / $279.48	Professional		$160.29	$232.90	$279.48
United Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $82.20 / $267.14	Professional		$78.09	$82.20	$267.14