Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.87 / $87.87 / $87.87	Facility		$87.87	$87.87	$87.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $97.63 / $126.36	Professional		$87.87	$97.63	$126.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.38 / $865.17 / $1,624.14	Facility		$638.38	$865.17	$1,624.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $85.28 / $86.98	Professional		$81.01	$85.28	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $150.85 / $237.57	Professional		$78.08	$150.85	$237.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.87 / $149.38 / $367.21	Facility		$87.87	$149.38	$367.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $186.34 / $745.59	Professional		$130.57	$186.34	$745.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $137.79 / $218.32	Facility		$115.13	$137.79	$218.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $154.62 / $237.57	Professional		$115.13	$154.62	$237.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $129.19 / $129.19	Professional		$129.19	$129.19	$129.19
United Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $182.97 / $228.55	Professional		$123.32	$182.97	$228.55