Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $530.50 / $610.07	Facility		$49.50	$530.50	$610.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $52.65 / $234.60	Professional		$49.50	$52.65	$234.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $65.28 / $65.28	Facility		$55.49	$65.28	$65.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $65.28 / $65.28	Professional		$62.02	$65.28	$65.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $72.06 / $80.83	Professional		$57.66	$72.06	$80.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $79.44 / $276.00	Facility		$49.50	$79.44	$276.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $1,311.00	Professional		$276.00	$276.00	$1,311.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $72.06 / $79.00	Facility		$62.10	$72.06	$79.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $76.92 / $108.05	Professional		$62.10	$76.92	$108.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $72.80 / $138.40	Professional		$72.80	$72.80	$138.40
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $328.44	Professional		$276.00	$276.00	$328.44