Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $182.36 / $261.24	Facility		$113.93	$182.36	$261.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $103.35 / $390.00	Professional		$69.68	$103.35	$390.00
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 $100.77 / $164.06 / $230.50	Professional		$100.77	$164.06	$230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Facility		$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $209.59 / $262.66	Professional		$134.00	$209.59	$262.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.18 / $164.86 / $243.14	Facility		$78.18	$164.86	$243.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $185.45 / $276.31	Professional		$139.33	$185.45	$276.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.71 / $205.26 / $233.44	Facility		$173.71	$205.26	$233.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $195.78 / $262.66	Professional		$134.00	$195.78	$262.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $208.18 / $237.40	Professional		$119.40	$208.18	$237.40
United Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $185.45 / $263.16	Professional		$139.33	$185.45	$263.16