Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $99.20 / $99.20	Professional		$99.20	$99.20	$99.20
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 $165.33 / $234.16 / $246.49	Professional		$165.33	$234.16	$246.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $309.62 / $565.00	Professional		$300.02	$309.62	$565.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $399.98 / $713.93	Facility		$99.20	$399.98	$713.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $195.39 / $1,210.74	Professional		$150.30	$195.39	$1,210.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.22 / $309.62 / $418.29	Facility		$266.22	$309.62	$418.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $309.62 / $384.77	Professional		$195.39	$309.62	$384.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $255.51 / $306.61	Professional		$175.85	$255.51	$306.61
United Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $150.30 / $300.60	Professional		$142.79	$150.30	$300.60