Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $235.17	Facility		$204.96	$204.96	$235.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $225.45	Professional		$204.96	$204.96	$225.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.23 / $232.03 / $232.03	Facility		$197.23	$232.03	$232.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $232.03 / $266.24	Professional		$220.43	$232.03	$266.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $315.51 / $404.91	Professional		$204.96	$315.51	$404.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.17 / $397.44 / $1,031.47	Facility		$235.17	$397.44	$1,031.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $235.17 / $1,266.59	Professional		$235.17	$235.17	$1,266.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $282.20 / $315.51 / $404.91	Facility		$282.20	$315.51	$404.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $315.51 / $706.32	Professional		$211.28	$315.51	$706.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $202.40 / $1,205.09	Professional		$176.10	$202.40	$1,205.09
United Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $204.96 / $289.69	Professional		$194.71	$204.96	$289.69