Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $16.37 / $26.27	Facility		$16.37	$16.37	$26.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $26.27 / $59.11	Professional		$16.37	$26.27	$59.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.59 / $86.76 / $88.67	Professional	50	$73.59	$86.76	$88.67
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 $17.07 / $32.64 / $53.71	Professional		$17.07	$32.64	$53.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $20.87 / $20.87	Facility		$20.87	$20.87	$20.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $55.11 / $84.42	Professional		$33.84	$55.11	$84.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $43.35 / $101.20	Facility		$19.28	$43.35	$101.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $61.85 / $129.84	Professional		$35.32	$61.85	$129.84
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $38.52 / $85.19 / $96.78	Professional	50	$38.52	$85.19	$96.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $46.84 / $83.20	Facility		$22.95	$46.84	$83.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $55.11 / $78.69	Professional		$37.85	$55.11	$78.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $32.40 / $57.73	Professional		$18.57	$32.40	$57.73
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 $35.32 / $63.32 / $77.16	Professional		$35.32	$63.32	$77.16