Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $22.35 / $23.94	Facility		$22.35	$22.35	$23.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $22.35 / $22.35	Professional		$22.35	$22.35	$22.35
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 $48.89 / $53.84 / $55.53	Professional		$48.89	$53.84	$55.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $62.02 / $77.52	Professional		$40.63	$62.02	$77.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $50.87 / $160.84	Facility		$20.32	$50.87	$160.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $97.86	Professional		$20.32	$20.32	$97.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $65.72 / $95.57	Facility		$40.63	$65.72	$95.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $66.38 / $86.68	Professional		$40.63	$66.38	$86.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $39.61 / $69.06	Professional		$39.61	$39.61	$69.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $20.32 / $66.03	Professional		$19.30	$20.32	$66.03