Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $92.88 / $92.88	Professional		$92.88	$92.88	$92.88
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 $154.80 / $219.25 / $230.80	Professional		$154.80	$219.25	$230.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.70 / $289.89 / $360.27	Professional		$286.70	$289.89	$360.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $382.23 / $672.24	Facility		$92.88	$382.23	$672.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $182.95 / $1,157.24	Professional		$140.72	$182.95	$1,157.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.27 / $289.89 / $400.22	Facility		$249.27	$289.89	$400.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $289.89 / $360.27	Professional		$182.95	$289.89	$360.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $239.24 / $287.08	Professional		$164.65	$239.24	$287.08
United Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $140.72 / $373.60	Professional		$133.69	$140.72	$373.60