Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $97.36 / $97.36	Professional		$97.36	$97.36	$97.36
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 $162.27 / $229.83 / $241.93	Professional		$162.27	$229.83	$241.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.54 / $303.89 / $565.00	Professional		$300.54	$303.89	$565.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $400.66 / $1,039.28	Facility		$97.36	$400.66	$1,039.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $191.78 / $1,213.06	Professional		$147.52	$191.78	$1,213.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.30 / $303.89 / $420.05	Facility		$261.30	$303.89	$420.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $303.89 / $377.65	Professional		$191.78	$303.89	$377.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $250.78 / $300.94	Professional		$172.60	$250.78	$300.94
United Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $147.52 / $391.63	Professional		$140.13	$147.52	$391.63