Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $31.02 / $33.22	Facility		$31.02	$31.02	$33.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $31.02 / $31.02	Professional		$31.02	$31.02	$31.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $74.73 / $77.06	Professional		$67.87	$74.73	$77.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $85.52 / $106.90	Professional		$56.40	$85.52	$106.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $31.02 / $223.25	Facility		$16.92	$31.02	$223.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $135.83	Professional		$28.20	$28.20	$135.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $85.95 / $103.01	Facility		$56.40	$85.95	$103.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $92.50 / $120.32	Professional		$56.40	$92.50	$120.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $54.99 / $95.88	Professional		$54.99	$54.99	$95.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $28.20 / $91.65	Professional		$26.79	$28.20	$91.65