Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $51.07	Facility		$33.71	$33.71	$51.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $328.38	Professional		$33.71	$33.71	$328.38
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 $73.75 / $81.20 / $83.75	Professional		$73.75	$81.20	$83.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $93.63 / $130.74	Professional		$74.00	$93.63	$130.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $76.76 / $242.58	Facility		$30.64	$76.76	$242.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $147.59	Professional		$30.64	$30.64	$147.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $97.22 / $200.47	Facility		$61.28	$97.22	$200.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $93.63 / $130.74	Professional		$61.28	$93.63	$130.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $86.82 / $104.18	Professional		$59.75	$86.82	$104.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $45.96	Professional		$21.45	$30.64	$45.96