Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $133.13 / $222.66	Facility		$104.58	$133.13	$222.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $175.51	Professional		$89.34	$89.34	$175.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $96.93 / $96.93	Facility		$82.39	$96.93	$96.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $109.56 / $128.25	Professional		$104.09	$109.56	$128.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $178.12 / $211.94	Professional		$89.34	$178.12	$211.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $156.87 / $212.53	Facility		$104.58	$156.87	$212.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $118.75 / $156.87	Professional		$104.58	$118.75	$156.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $178.12 / $244.42	Facility		$137.81	$178.12	$244.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $166.28 / $229.25	Professional		$137.81	$166.28	$229.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $146.90 / $216.10	Professional		$84.95	$146.90	$216.10
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $89.34 / $133.32	Professional		$84.87	$89.34	$133.32