Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $63.10 / $134.90	Facility		$19.50	$63.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $23.99	Professional		$15.85	$18.20	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $1,023.29	Facility		$398.11	$524.81	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $48.98	Professional		$21.88	$36.31	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $56.23	Professional		$21.88	$27.54	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.92 / $89.13	Facility		$18.20	$26.92	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $123.03	Professional		$26.92	$33.88	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $58.88	Professional		$27.54	$35.48	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $58.88	Professional		$35.48	$43.65	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,659.59	Professional		$1,230.27	$1,412.54	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $24.55	Facility		$23.44	$23.44	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $54.95	Professional		$22.39	$33.88	$54.95