Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $32.25 / $36.75	Facility		$25.46	$32.25	$36.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $103.38	Professional		$31.00	$31.00	$103.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.24 / $389.28 / $730.77	Facility		$287.24	$389.28	$730.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $62.34 / $63.89	Professional		$58.90	$62.34	$63.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Facility		$183.96	$183.96	$183.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $72.81 / $95.99	Professional		$63.16	$72.81	$95.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $54.25 / $114.38	Facility		$31.00	$54.25	$114.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $65.72 / $787.00	Professional		$39.83	$65.72	$787.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $72.81 / $113.46	Facility		$63.16	$72.81	$113.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $72.81 / $99.76	Professional		$63.16	$72.81	$99.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $83.90 / $130.80	Professional		$58.90	$83.90	$130.80
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $61.85 / $76.59	Professional		$39.83	$61.85	$76.59