Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $187.96 / $382.47	Facility		$172.55	$187.96	$382.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $12,899.35	Professional		$173.03	$174.75	$12,899.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.56 / $187.72 / $187.72	Facility		$159.56	$187.72	$187.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.03 / $211.61 / $212.19	Professional		$201.03	$211.61	$212.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $220.37 / $255.20	Professional		$173.03	$220.37	$255.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $250.20 / $336.47	Facility		$150.66	$250.20	$336.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $182.90 / $258.83	Professional		$164.92	$182.90	$258.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.30 / $247.38 / $298.27	Facility		$134.30	$247.38	$298.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $206.68 / $258.82	Professional		$134.30	$206.68	$258.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.45 / $209.20 / $354.29	Professional		$202.45	$209.20	$354.29
United Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $173.03 / $205.91	Professional		$164.38	$173.03	$205.91