Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $20.93	Facility		$19.54	$19.54	$20.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $19.54 / $19.54	Professional		$19.54	$19.54	$19.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $63.74 / $123.28	Facility		$48.46	$63.74	$123.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $47.06 / $48.53	Professional		$42.74	$47.06	$48.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $54.18 / $67.73	Professional		$35.52	$54.18	$67.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $49.24 / $140.60	Facility		$17.76	$49.24	$140.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $95.05	Professional		$17.76	$17.76	$95.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $60.98 / $92.84	Facility		$35.52	$60.98	$92.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $63.84 / $75.78	Professional		$35.52	$63.84	$75.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $34.63 / $60.38	Professional		$34.63	$34.63	$60.38
United Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $17.76 / $21.38	Professional		$16.87	$17.76	$21.38