Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $75.45 / $89.70	Facility		$75.45	$75.45	$89.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $85.14 / $97.89	Professional		$71.58	$85.14	$97.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.62 / $140.49 / $140.49	Facility		$125.62	$140.49	$140.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $140.49 / $190.75	Professional		$82.65	$140.49	$190.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $189.23 / $255.75	Professional		$103.37	$189.23	$255.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $128.27 / $204.96	Facility		$76.25	$128.27	$204.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $200.64 / $721.97	Professional		$121.78	$200.64	$721.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $192.75 / $255.75	Facility		$122.76	$192.75	$255.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $171.00 / $240.57	Professional		$128.13	$171.00	$240.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $191.20 / $256.70	Professional		$149.30	$191.20	$256.70
United Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $190.21 / $244.86	Professional		$119.78	$190.21	$244.86