Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $208.93 / $389.05	Facility		$56.23	$208.93	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $79.43	Professional		$52.48	$60.26	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $575.44	Facility		$223.87	$295.12	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $128.82	Professional		$114.82	$123.03	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $199.53	Professional		$83.18	$107.15	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $371.54	Facility		$52.48	$117.49	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $229.09	Professional		$33.11	$47.86	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $162.18	Professional		$79.43	$138.04	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $79.43	Professional		$44.67	$47.86	$79.43