Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.54 / $119.54 / $119.54	Facility		$119.54	$119.54	$119.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $119.54 / $144.65	Professional		$103.41	$119.54	$144.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.15 / $864.58 / $1,355.27	Facility		$668.15	$864.58	$1,355.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $187.47 / $262.67	Professional		$115.56	$187.47	$262.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $280.98 / $341.97	Professional		$231.52	$280.98	$341.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.54 / $198.37 / $287.31	Facility		$119.54	$198.37	$287.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.04 / $256.76 / $839.64	Professional		$152.04	$256.76	$839.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $175.13 / $254.90 / $333.88	Facility		$175.13	$254.90	$333.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $263.62 / $344.98	Professional		$175.13	$263.62	$344.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $131.07 / $264.94	Professional		$69.98	$131.07	$264.94
United Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $250.34 / $314.92	Professional		$151.51	$250.34	$314.92