Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $161.40 / $161.40	Facility		$161.40	$161.40	$161.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.40 / $161.40 / $209.58	Professional		$161.40	$161.40	$209.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $212.40 / $214.55	Professional		$193.09	$212.40	$214.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $319.56 / $319.56	Facility		$214.95	$319.56	$319.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $319.56 / $570.14	Professional		$214.95	$319.56	$570.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $274.38 / $1,096.95	Facility		$161.40	$274.38	$1,096.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $167.69 / $263.07	Professional		$109.55	$167.69	$263.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $321.31 / $462.03	Facility		$319.56	$321.31	$462.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.56 / $382.05 / $675.73	Professional		$319.56	$382.05	$675.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $246.76 / $450.82	Professional		$224.35	$246.76	$450.82
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $167.69 / $249.30	Professional		$96.36	$167.69	$249.30