Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $161.46 / $207.03	Facility		$105.42	$161.46	$207.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $98.41 / $263.20	Professional		$63.74	$98.41	$263.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.33 / $293.74 / $568.17	Facility		$223.33	$293.74	$568.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $149.94 / $210.66	Professional		$92.32	$149.94	$210.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $113.10 / $125.00	Facility		$113.10	$113.10	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $137.80 / $229.43	Professional		$85.67	$137.80	$229.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $165.93 / $243.95	Facility		$79.23	$165.93	$243.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $121.66 / $222.94	Professional		$74.27	$121.66	$222.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $141.91 / $193.15	Facility		$113.10	$141.91	$193.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $146.75 / $229.43	Professional		$103.34	$146.75	$229.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $190.17 / $211.75	Professional		$97.88	$190.17	$211.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $82.52 / $200.61	Professional		$68.67	$82.52	$200.61