Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,801.89 / $12,589.25	Facility		$275.42	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $87.10	Professional		$61.66	$63.10	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $229.09	Facility		$89.13	$117.49	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $131.83	Professional		$53.70	$93.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $169.82	Professional		$32.36	$40.74	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $128.82 / $4,365.16	Facility		$61.66	$128.82	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $165.96	Professional		$32.36	$38.90	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $169.82	Professional		$35.48	$44.67	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Professional		$54.95	$54.95	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,096.48 / $4,466.84	Facility		$64.57	$1,096.48	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $154.88	Professional		$27.54	$40.74	$154.88