Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $191.30 / $191.30	Facility		$191.30	$191.30	$191.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $191.30 / $191.30	Professional		$134.13	$191.30	$191.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $223.34 / $225.61	Professional		$214.33	$223.34	$225.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $332.51 / $577.55	Professional		$247.20	$332.51	$577.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $334.78 / $758.88	Facility		$191.30	$334.78	$758.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $115.25 / $243.95	Professional		$87.96	$115.25	$243.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.38 / $296.85 / $485.63	Facility		$253.38	$296.85	$485.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $266.52 / $505.87	Professional		$224.00	$266.52	$505.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.64 / $344.60 / $480.71	Professional		$235.64	$344.60	$480.71
United Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $115.25 / $180.82	Professional		$83.56	$115.25	$180.82