Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $167.78 / $222.92	Facility		$67.08	$167.78	$222.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $71.14 / $101.33	Professional		$67.08	$71.14	$101.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,824.54 / $2,472.71 / $4,641.93	Facility		$1,824.54	$2,472.71	$4,641.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $108.29 / $145.90	Professional		$64.20	$108.29	$145.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $147.59 / $193.53	Professional		$86.73	$147.59	$193.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $108.58 / $164.67	Facility		$54.45	$108.58	$164.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $141.08 / $484.81	Professional		$86.82	$141.08	$484.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $162.10 / $193.53	Facility		$120.75	$162.10	$193.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $147.90 / $193.53	Professional		$107.84	$147.90	$193.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $124.56 / $222.30	Professional		$71.44	$124.56	$222.30
United Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $140.65 / $176.17	Professional		$79.59	$140.65	$176.17