Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $200.40	Professional		$182.18	$182.18	$200.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $206.25 / $206.25	Facility		$175.31	$206.25	$206.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $206.25 / $206.25	Professional		$195.94	$206.25	$206.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $218.62 / $280.56	Professional		$182.18	$218.62	$280.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.64 / $300.60 / $377.75	Facility		$168.64	$300.60	$377.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $560.97	Professional		$182.18	$182.18	$560.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.69 / $218.62 / $273.27	Facility		$207.69	$218.62	$273.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $218.62 / $280.56	Professional		$128.34	$218.62	$280.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $338.80 / $338.80	Professional		$338.80	$338.80	$338.80
United Facility/Professional Professional Modifier Low / Median / High Price $173.07 / $182.18 / $200.40	Professional		$173.07	$182.18	$200.40