Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $107.36 / $152.55	Facility		$71.65	$107.36	$152.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $120.24	Professional		$68.20	$68.20	$120.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $193.01 / $193.01	Facility		$164.06	$193.01	$193.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.72 / $386.01 / $405.56	Professional		$366.72	$386.01	$405.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $89.29 / $343.96	Professional		$68.20	$89.29	$343.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $114.98 / $389.69	Facility		$71.65	$114.98	$389.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $71.65 / $355.55	Professional		$59.53	$71.65	$355.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.43 / $107.47 / $302.94	Facility		$71.43	$107.47	$302.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $107.47 / $252.45	Professional		$71.43	$107.47	$252.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $101.00 / $228.60	Professional		$79.79	$101.00	$228.60
United Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $72.63 / $157.75	Facility		$54.17	$72.63	$157.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $81.16	Professional		$68.20	$68.20	$81.16