Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $194.40	Facility		$190.69	$190.69	$194.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $203.34 / $225.82	Professional		$166.44	$203.34	$225.82
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 $188.84 / $315.81 / $429.18	Professional		$188.84	$315.81	$429.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.82 / $453.35 / $531.98	Professional		$395.82	$453.35	$531.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $320.76 / $497.07	Facility		$190.69	$320.76	$497.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $441.72 / $1,273.63	Professional		$327.10	$441.72	$1,273.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $393.52 / $466.07 / $542.37	Facility		$393.52	$466.07	$542.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $466.07 / $542.37	Professional		$405.72	$466.07	$542.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $375.77 / $424.17	Professional		$216.40	$375.77	$424.17
United Facility/Professional Professional Modifier Low / Median / High Price $337.33 / $441.72 / $510.11	Professional		$337.33	$441.72	$510.11