Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $43.65 / $102.33	Facility		$20.89	$43.65	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $63.10	Professional		$10.00	$16.98	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,235.94	Facility		$1,258.93	$1,659.59	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $27.54	Professional		$10.96	$19.50	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $27.54 / $40.74	Professional		$12.88	$27.54	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.30 / $1,230.27	Facility		$13.80	$26.30	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $295.12	Professional		$19.05	$31.62	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $43.65	Professional		$27.54	$34.67	$43.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $31.62	Professional		$25.70	$25.70	$31.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $38.02	Professional		$30.90	$35.48	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,230.27 / $4,466.84	Facility		$251.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $35.48	Professional		$17.38	$25.70	$35.48