Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $31.19 / $47.25	Facility		$31.19	$31.19	$47.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $31.19 / $303.82	Professional		$31.19	$31.19	$303.82
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 $68.23 / $75.12 / $77.48	Professional		$68.23	$75.12	$77.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $86.65 / $120.96	Professional		$69.00	$86.65	$120.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $70.81 / $417.95	Facility		$28.35	$70.81	$417.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $28.35 / $136.55	Professional		$28.35	$28.35	$136.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $89.95 / $120.96	Facility		$56.70	$89.95	$120.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $86.65 / $120.96	Professional		$56.70	$86.65	$120.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $80.33 / $96.39	Professional		$55.28	$80.33	$96.39
United Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $56.70	Facility		$47.25	$47.25	$56.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $28.35 / $92.14	Professional		$26.93	$28.35	$92.14