Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.54 / $478.70 / $1,330.23	Facility		$298.54	$478.70	$1,330.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $100.52 / $741.77	Professional		$35.88	$100.52	$741.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $288.19 / $557.46	Facility		$219.11	$288.19	$557.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $178.63 / $189.19	Professional		$92.29	$178.63	$189.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $209.55 / $261.94	Professional		$132.57	$209.55	$261.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $257.93 / $547.96	Facility		$69.22	$257.93	$547.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $69.22 / $454.83	Professional		$69.22	$69.22	$454.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.28 / $235.01 / $361.65	Facility		$141.28	$235.01	$361.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $243.50 / $332.30	Professional		$138.55	$243.50	$332.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $196.11 / $235.33	Professional		$134.97	$196.11	$235.33
United Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $103.82 / $115.36	Facility		$51.91	$103.82	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $69.22 / $230.72	Professional		$65.76	$69.22	$230.72