Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $17.42 / $28.25	Facility		$17.42	$17.42	$28.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $34.24 / $66.05	Professional		$17.42	$34.24	$66.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.75 / $546.83 / $1,057.75	Facility		$415.75	$546.83	$1,057.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $34.34 / $56.63	Professional		$18.01	$34.34	$56.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $59.91 / $89.10	Professional		$35.54	$59.91	$89.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $46.61 / $125.39	Facility		$20.12	$46.61	$125.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $72.04 / $156.16	Professional		$38.18	$72.04	$156.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $57.69 / $92.81	Facility		$39.31	$57.69	$92.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $59.53 / $94.00	Professional		$39.31	$59.53	$94.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.70 / $60.19	Professional		$19.50	$33.70	$60.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $65.20 / $87.78	Professional		$38.18	$65.20	$87.78