Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $134.46 / $338.00	Facility		$41.89	$134.46	$338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $122.33 / $172.27	Professional		$41.89	$122.33	$172.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $367.39 / $689.68	Facility		$271.08	$367.39	$689.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $99.90 / $243.81	Professional		$43.95	$99.90	$243.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $155.22 / $293.86	Professional		$73.06	$155.22	$293.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $122.33 / $253.47	Facility		$43.50	$122.33	$253.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $251.37 / $855.04	Professional		$143.63	$251.37	$855.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $233.82 / $301.49	Facility		$94.38	$233.82	$301.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $218.00 / $293.86	Professional		$89.75	$218.00	$293.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $132.41 / $276.17	Professional		$47.40	$132.41	$276.17
United Facility/Professional Facility Modifier Low / Median / High Price $262.27 / $274.08 / $358.01	Facility		$262.27	$274.08	$358.01
United Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $233.40 / $293.60	Professional		$143.31	$233.40	$293.60