Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $131.83	Professional		$77.62	$87.10	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $524.81 / $1,000.00	Facility		$158.49	$524.81	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $181.97	Professional		$81.28	$134.90	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $323.59	Professional		$83.18	$151.36	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $190.55	Facility		$85.11	$117.49	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $575.44	Professional		$102.33	$144.54	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $218.78	Professional		$131.83	$177.83	$218.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $208.93	Professional		$123.03	$194.98	$208.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,412.54	Facility		$776.25	$912.01	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $194.98	Professional		$81.28	$131.83	$194.98