Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $146.36 / $148.22	Facility		$146.36	$146.36	$148.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $153.19 / $190.80	Professional		$125.47	$153.19	$190.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.61 / $808.24 / $1,266.95	Facility		$624.61	$808.24	$1,266.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $245.44 / $332.64	Professional		$146.37	$245.44	$332.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.67 / $345.59 / $404.43	Professional		$304.67	$345.59	$404.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $244.56 / $378.98	Facility		$146.36	$244.56	$378.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $333.47 / $970.00	Professional		$246.93	$333.47	$970.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $353.67 / $408.77	Facility		$305.00	$353.67	$408.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.97 / $353.67 / $411.94	Professional		$308.97	$353.67	$411.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.70 / $285.68 / $329.76	Professional		$168.70	$285.68	$329.76
United Facility/Professional Professional Modifier Low / Median / High Price $254.64 / $333.47 / $388.93	Professional		$254.64	$333.47	$388.93