Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $80.20 / $80.20	Facility		$80.20	$80.20	$80.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $91.01 / $155.08	Professional		$80.20	$91.01	$155.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $193.05 / $373.43	Facility		$146.78	$193.05	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $129.59 / $174.59	Professional		$76.81	$129.59	$174.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $171.24 / $332.15	Professional		$120.10	$171.24	$332.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $140.35 / $231.61	Facility		$77.36	$140.35	$231.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $168.36 / $533.04	Professional		$134.30	$168.36	$533.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $180.85 / $224.03	Facility		$139.12	$180.85	$224.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.12 / $180.85 / $224.03	Professional		$139.12	$180.85	$224.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $140.84 / $261.00	Professional		$80.78	$140.84	$261.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $181.82 / $213.36	Professional		$97.66	$181.82	$213.36