Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $616.60	Professional		$302.00	$338.84	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,698.24	Facility		$1,230.27	$1,230.27	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $724.44	Professional		$316.23	$537.03	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $1,380.38	Professional		$323.59	$630.96	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $691.83	Facility		$331.13	$489.78	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $2,511.89	Professional		$416.87	$616.60	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $851.14	Professional		$616.60	$741.31	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $812.83	Professional		$501.19	$741.31	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $851.14	Professional		$363.08	$660.69	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $812.83	Professional		$323.59	$549.54	$812.83