Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.18 / $130.18 / $130.18	Facility		$130.18	$130.18	$130.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $148.03 / $193.83	Professional		$130.18	$148.03	$193.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.12 / $331.61 / $641.44	Facility		$252.12	$331.61	$641.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.38 / $211.53 / $284.95	Professional		$125.38	$211.53	$284.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $279.07 / $540.41	Professional		$195.76	$279.07	$540.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.83 / $227.82 / $362.60	Facility		$125.83	$227.82	$362.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.49 / $273.60 / $871.74	Professional		$212.49	$273.60	$871.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.27 / $296.13 / $363.54	Facility		$224.27	$296.13	$363.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.02 / $292.64 / $363.54	Professional		$217.02	$292.64	$363.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $229.03 / $413.80	Professional		$131.36	$229.03	$413.80
United Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $266.76 / $341.59	Professional		$197.09	$266.76	$341.59