Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $10.51 / $17.94	Facility		$10.51	$10.51	$17.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $18.11 / $43.43	Professional		$10.51	$18.11	$43.43
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 $11.02 / $21.30 / $37.00	Professional		$11.02	$21.30	$37.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $37.96 / $57.46	Professional		$21.87	$37.96	$57.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $29.60 / $80.33	Facility		$12.23	$29.60	$80.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $44.35 / $86.73	Professional		$23.50	$44.35	$86.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $36.44 / $58.40	Facility		$24.01	$36.44	$58.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $37.88 / $59.00	Professional		$24.01	$37.88	$59.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $20.80 / $40.01	Professional		$11.77	$20.80	$40.01
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 $23.50 / $42.14 / $64.77	Professional		$23.50	$42.14	$64.77