Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $26.35 / $26.35	Facility		$17.86	$26.35	$26.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $26.35 / $27.96	Professional		$24.67	$26.35	$27.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.04 / $642.45 / $1,206.05	Facility		$474.04	$642.45	$1,206.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $103.20 / $105.78	Professional		$96.54	$103.20	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $60.33 / $128.77	Professional		$22.65	$60.33	$128.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $43.85 / $74.36	Facility		$22.51	$43.85	$74.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $97.08 / $304.74	Professional		$59.25	$97.08	$304.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $57.00 / $110.07	Facility		$18.70	$57.00	$110.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $57.14 / $118.63	Professional		$21.34	$57.14	$118.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $17.14 / $65.62	Professional		$9.50	$17.14	$65.62
United Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.47 / $51.60	Facility		$40.47	$40.47	$51.60
United Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $97.64 / $122.11	Professional		$59.25	$97.64	$122.11