Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $24.17 / $36.61	Facility		$24.17	$24.17	$36.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $24.17 / $235.47	Professional		$24.17	$24.17	$235.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $58.22 / $60.06	Professional		$52.88	$58.22	$60.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $67.14 / $93.75	Professional		$53.00	$67.14	$93.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $55.13 / $173.95	Facility		$21.97	$55.13	$173.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $21.97 / $105.83	Professional		$21.97	$21.97	$105.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $69.72 / $93.75	Facility		$43.94	$69.72	$93.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $67.14 / $93.75	Professional		$43.94	$67.14	$93.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $62.25 / $74.70	Professional		$42.85	$62.25	$74.70
United Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $40.28 / $146.47	Facility		$21.97	$40.28	$146.47
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $32.96	Professional		$15.38	$21.97	$32.96