Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $291.50 / $791.04	Facility		$45.28	$291.50	$791.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $45.28 / $441.10	Professional		$45.28	$45.28	$441.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $109.06 / $112.50	Professional		$99.06	$109.06	$112.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $139.77 / $175.62	Professional		$112.00	$139.77	$175.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $186.32 / $327.87	Facility		$41.16	$186.32	$327.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $68.59 / $777.00	Professional		$51.45	$68.59	$777.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $141.32 / $215.06	Facility		$84.02	$141.32	$215.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $147.13 / $196.54	Professional		$89.18	$147.13	$196.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $116.62 / $139.94	Professional		$80.26	$116.62	$139.94
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $68.59 / $137.19	Professional		$41.16	$68.59	$137.19