Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $182.36 / $270.20	Facility		$115.27	$182.36	$270.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $107.61 / $369.00	Professional		$70.50	$107.61	$369.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $304.82 / $589.62	Facility		$231.75	$304.82	$589.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $166.47 / $233.88	Professional		$101.95	$166.47	$233.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $165.00 / $176.02	Facility		$165.00	$165.00	$176.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $212.77 / $266.50	Professional		$138.62	$212.77	$266.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.11 / $161.41 / $245.89	Facility		$79.11	$161.41	$245.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $180.49 / $279.56	Professional		$142.47	$180.49	$279.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.02 / $196.91 / $237.04	Facility		$176.02	$196.91	$237.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $190.28 / $266.50	Professional		$138.62	$190.28	$266.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $211.41 / $241.85	Professional		$121.25	$211.41	$241.85
United Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $86.94 / $97.81	Facility		$86.94	$86.94	$97.81
United Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $194.73 / $255.77	Professional		$142.47	$194.73	$255.77