Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $87.66 / $122.59	Professional		$78.95	$87.66	$122.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.90 / $528.90 / $1,004.25	Facility		$528.90	$528.90	$1,004.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $136.38 / $189.16	Professional		$83.23	$136.38	$189.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $169.50 / $323.72	Professional		$94.39	$169.50	$323.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $116.68 / $192.61	Facility		$75.73	$116.68	$192.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $145.24 / $579.79	Professional		$111.66	$145.24	$579.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $169.50 / $219.97	Facility		$117.64	$169.50	$219.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $149.69 / $201.28	Professional		$114.47	$149.69	$201.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.17 / $1,333.17 / $1,333.17	Facility		$1,333.17	$1,333.17	$1,333.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $145.24 / $200.67	Professional		$89.72	$145.24	$200.67