Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $122.03 / $122.03	Facility		$122.03	$122.03	$122.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $122.03 / $122.03	Professional		$85.56	$122.03	$122.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $142.47 / $143.91	Professional		$136.72	$142.47	$143.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $212.10 / $368.44	Professional		$157.69	$212.10	$368.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $213.55 / $637.48	Facility		$122.03	$213.55	$637.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $73.52 / $155.61	Professional		$56.11	$73.52	$155.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $189.36 / $309.77	Facility		$161.63	$189.36	$309.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $191.58 / $344.71	Professional		$161.63	$191.58	$344.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $219.80 / $306.64	Professional		$150.32	$219.80	$306.64
United Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $73.52 / $115.34	Professional		$53.30	$73.52	$115.34