Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $105.61 / $165.97	Facility		$67.31	$105.61	$165.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $86.92 / $186.91	Professional		$67.31	$86.92	$186.91
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 $67.65 / $116.93 / $161.84	Professional		$67.65	$116.93	$161.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $141.66 / $257.00	Facility		$141.66	$141.66	$257.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $163.98 / $203.78	Professional		$107.72	$163.98	$203.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $114.43 / $322.45	Facility		$67.31	$114.43	$322.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $168.85 / $513.00	Professional		$128.41	$168.85	$513.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $168.85 / $208.73	Facility		$141.66	$168.85	$208.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $168.85 / $213.23	Professional		$126.90	$168.85	$213.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $127.12 / $178.25	Professional		$77.08	$127.12	$178.25
United Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $175.63 / $213.17	Professional		$128.41	$175.63	$213.17