Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $66.62 / $88.82	Facility		$57.80	$66.62	$88.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $80.26 / $107.01	Professional		$65.29	$80.26	$107.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $338.82 / $403.96	Facility		$288.00	$338.82	$403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $131.13 / $180.50	Professional		$76.73	$131.13	$180.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $141.11 / $220.98	Professional		$67.00	$141.11	$220.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $97.30 / $176.08	Facility		$73.61	$97.30	$176.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $179.74 / $590.30	Professional		$93.25	$179.74	$590.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $187.83 / $237.23	Facility		$167.00	$187.83	$237.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $187.83 / $234.05	Professional		$149.66	$187.83	$234.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $106.04 / $190.98	Professional		$84.99	$106.04	$190.98
United Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $170.28 / $232.05	Professional		$93.19	$170.28	$232.05