Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $137.19	Facility		$134.88	$134.88	$137.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $148.37	Professional		$134.88	$134.88	$148.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $152.69 / $152.69	Facility		$129.79	$152.69	$152.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $152.69 / $155.31	Professional		$145.06	$152.69	$155.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $163.77 / $215.12	Professional		$134.88	$163.77	$215.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $226.36 / $297.64	Facility		$132.88	$226.36	$297.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $137.19 / $137.19	Professional		$136.47	$137.19	$137.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.49 / $163.77 / $210.17	Facility		$163.49	$163.77	$210.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $164.63 / $215.12	Professional		$163.49	$164.63	$215.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $287.00 / $287.00	Professional		$287.00	$287.00	$287.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $134.88 / $134.88	Professional		$128.15	$134.88	$134.88