Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.65 / $140.65 / $140.65	Facility		$140.65	$140.65	$140.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $140.65 / $784.80	Professional		$140.65	$140.65	$784.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.69 / $1,651.58 / $3,194.68	Facility		$1,255.69	$1,651.58	$3,194.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $228.84 / $308.30	Professional		$135.65	$228.84	$308.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $321.73 / $402.16	Professional		$123.67	$321.73	$402.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.92 / $267.24 / $665.59	Facility		$74.92	$267.24	$665.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $258.82 / $975.32	Professional		$175.30	$258.82	$975.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $282.67 / $351.28	Facility		$148.49	$282.67	$351.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $259.07 / $351.28	Professional		$148.49	$259.07	$351.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $187.96 / $304.67	Professional		$156.16	$187.96	$304.67
United Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $252.19 / $335.45	Professional		$219.00	$252.19	$335.45