Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $76.88 / $76.88	Professional		$76.88	$76.88	$76.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.73 / $523.73 / $523.73	Facility		$523.73	$523.73	$523.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $181.49 / $191.03	Professional		$128.13	$181.49	$191.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $239.97 / $423.00	Professional		$237.33	$239.97	$423.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $316.39 / $556.67	Facility		$76.88	$316.39	$556.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $151.44 / $957.98	Professional		$116.49	$151.44	$957.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.34 / $239.97 / $332.87	Facility		$206.34	$239.97	$332.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $239.97 / $298.20	Professional		$151.44	$239.97	$298.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $198.03 / $237.64	Professional		$136.29	$198.03	$237.64
United Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $116.49 / $309.94	Professional		$110.67	$116.49	$309.94