Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $86.16 / $86.16	Professional		$86.16	$86.16	$86.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.29 / $228.29 / $228.29	Facility		$228.29	$228.29	$228.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $198.11 / $208.53	Professional		$139.88	$198.11	$208.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.54 / $257.69 / $320.23	Professional		$221.54	$257.69	$320.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $199.23 / $611.58	Facility		$86.16	$199.23	$611.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $131.91 / $882.93	Professional		$75.67	$131.91	$882.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $235.22 / $310.20	Facility		$156.72	$235.22	$310.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $233.20 / $310.20	Professional		$121.00	$233.20	$310.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $142.49 / $248.45	Professional		$75.77	$142.49	$248.45
United Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $126.11 / $225.45	Professional		$75.67	$126.11	$225.45