Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $25.94 / $39.31	Facility		$25.94	$25.94	$39.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $25.94 / $252.76	Professional		$25.94	$25.94	$252.76
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 $56.75 / $62.50 / $64.45	Professional		$56.75	$62.50	$64.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $72.06 / $100.63	Professional		$57.00	$72.06	$100.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $58.92 / $186.72	Facility		$23.59	$58.92	$186.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $23.59 / $113.61	Professional		$23.59	$23.59	$113.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $74.83 / $100.63	Facility		$47.17	$74.83	$100.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $72.06 / $100.63	Professional		$47.17	$72.06	$100.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $66.83 / $80.19	Professional		$45.99	$66.83	$80.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $23.59 / $35.38	Professional		$22.41	$23.59	$35.38