Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.46 / $233.46 / $237.79	Facility		$233.46	$233.46	$237.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $249.15 / $308.64	Professional		$206.64	$249.15	$308.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.36 / $1,025.31 / $1,607.22	Facility		$792.36	$1,025.31	$1,607.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.16 / $383.98 / $525.38	Professional		$231.16	$383.98	$525.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.84 / $555.85 / $657.62	Professional		$488.84	$555.85	$657.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.46 / $392.35 / $607.95	Facility		$233.46	$392.35	$607.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.59 / $546.50 / $1,563.65	Professional		$404.59	$546.50	$1,563.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.08 / $577.72 / $672.33	Facility		$478.08	$577.72	$672.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.06 / $577.72 / $672.33	Professional		$501.06	$577.72	$672.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $459.45 / $520.29	Professional		$265.33	$459.45	$520.29
United Facility/Professional Professional Modifier Low / Median / High Price $417.24 / $546.50 / $620.29	Professional		$417.24	$546.50	$620.29