Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $103.58 / $103.58	Facility		$103.58	$103.58	$103.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $103.58 / $118.93	Professional		$87.59	$103.58	$118.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $179.78 / $242.12	Professional		$106.53	$179.78	$242.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $228.97 / $356.96	Professional		$121.96	$228.97	$356.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $176.09 / $270.92	Facility		$103.58	$176.09	$270.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $224.91 / $1,082.00	Professional		$138.41	$224.91	$1,082.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $219.80 / $305.38	Facility		$166.43	$219.80	$305.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $223.06 / $305.38	Professional		$166.43	$223.06	$305.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $217.30 / $291.80	Professional		$179.80	$217.30	$291.80
United Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $207.61 / $285.42	Professional		$138.41	$207.61	$285.42