Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $125.86 / $125.86	Facility		$125.86	$125.86	$125.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $125.86 / $125.86	Professional		$88.25	$125.86	$125.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $146.94 / $148.43	Professional		$141.00	$146.94	$148.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $218.76 / $379.98	Professional		$162.63	$218.76	$379.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $220.26 / $411.26	Facility		$125.86	$220.26	$411.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $75.83 / $160.50	Professional		$57.87	$75.83	$160.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $195.30 / $319.49	Facility		$166.71	$195.30	$319.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $175.35 / $332.83	Professional		$131.90	$175.35	$332.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $226.70 / $316.26	Professional		$155.03	$226.70	$316.26
United Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $75.83 / $118.96	Professional		$54.97	$75.83	$118.96