Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $108.03 / $235.56	Facility		$108.03	$108.03	$235.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $181.30	Professional		$95.90	$95.90	$181.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $104.04 / $104.04	Facility		$88.43	$104.04	$104.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $117.61 / $132.49	Professional		$111.73	$117.61	$132.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $205.89 / $270.08	Professional		$95.90	$205.89	$270.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $173.37 / $924.76	Facility		$108.03	$173.37	$924.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $128.56 / $758.56	Professional		$108.03	$128.56	$758.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $235.65 / $1,402.01	Facility		$162.05	$235.65	$1,402.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $270.08 / $2,203.28	Professional		$162.05	$270.08	$2,203.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $151.90 / $3,156.50	Professional		$101.72	$151.90	$3,156.50
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $174.89	Professional		$95.90	$95.90	$174.89