Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $177.93 / $204.62	Facility		$177.93	$177.93	$204.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $78.68	Professional		$78.68	$78.68	$78.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $92.57 / $92.57	Facility		$78.68	$92.57	$92.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $92.56 / $92.56	Professional		$87.93	$92.56	$92.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $105.94 / $113.55	Professional		$84.75	$105.94	$113.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $109.93 / $195.90	Facility		$81.77	$109.93	$195.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $101.83	Professional		$92.57	$92.57	$101.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $113.55 / $113.55	Facility		$0.90	$113.55	$113.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $113.55 / $113.55	Professional		$95.33	$113.55	$113.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $190.20 / $190.20	Professional		$190.20	$190.20	$190.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $92.57 / $92.57	Professional		$87.94	$92.57	$92.57