Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $100.72 / $101.72	Facility		$100.72	$100.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $111.89	Professional		$101.72	$101.72	$111.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.88 / $115.15 / $115.15	Facility		$97.88	$115.15	$115.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $114.02 / $115.15	Professional		$108.31	$114.02	$115.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $125.60 / $175.02	Professional		$101.72	$125.60	$175.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $166.19 / $254.64	Facility		$100.72	$166.19	$254.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $100.72 / $293.52	Professional		$100.72	$100.72	$293.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $122.62 / $157.36	Facility		$120.86	$122.62	$157.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $122.62 / $175.02	Professional		$120.86	$122.62	$175.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $227.30 / $227.30	Professional		$227.30	$227.30	$227.30
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $101.72 / $152.58	Professional		$96.63	$101.72	$152.58