Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $136.66 / $302.10	Facility		$136.22	$136.66	$302.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $32,669.51	Professional		$136.66	$136.66	$32,669.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $148.27 / $148.27	Facility		$126.03	$148.27	$148.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $167.06 / $167.61	Professional		$158.72	$167.06	$167.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $181.90 / $204.69	Professional		$136.66	$181.90	$204.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $206.90 / $265.64	Facility		$124.29	$206.90	$265.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $144.40 / $204.35	Professional		$132.72	$144.40	$204.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $199.37 / $261.01	Facility		$159.27	$199.37	$261.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $199.37 / $289.13	Professional		$159.27	$199.37	$289.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $191.50 / $279.01	Professional		$159.90	$191.50	$279.01
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $162.63	Professional		$136.66	$136.66	$162.63