Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $162.91 / $162.91	Facility		$162.60	$162.91	$162.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $162.91 / $1,055.01	Professional		$162.91	$162.91	$1,055.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $603.17 / $1,166.74	Facility		$458.59	$603.17	$1,166.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $315.42 / $323.31	Professional		$295.08	$315.42	$323.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $294.95 / $464.59	Professional		$193.13	$294.95	$464.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $399.48 / $892.39	Facility		$162.91	$399.48	$892.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.11 / $345.39 / $1,158.18	Professional		$191.11	$345.39	$1,158.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.44 / $253.32 / $464.59	Facility		$209.44	$253.32	$464.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $227.70 / $302.32 / $474.39	Professional		$227.70	$302.32	$474.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $303.55	Professional		$174.10	$174.10	$303.55
United Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $344.09 / $446.40	Professional		$214.27	$344.09	$446.40