Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $210.71 / $571.82	Facility		$32.72	$210.71	$571.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $32.72 / $318.86	Professional		$32.72	$32.72	$318.86
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 $71.59 / $78.84 / $81.31	Professional		$71.59	$78.84	$81.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $101.03 / $126.95	Professional		$90.09	$101.03	$126.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $151.31 / $235.55	Facility		$29.75	$151.31	$235.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $29.75 / $195.51	Professional		$29.75	$29.75	$195.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $102.16 / $139.07	Facility		$59.51	$102.16	$139.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $102.16 / $139.07	Professional		$59.51	$102.16	$139.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $84.30 / $101.16	Professional		$58.02	$84.30	$101.16
United Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $20.83 / $29.75	Facility		$17.85	$20.83	$29.75
United Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $29.75 / $99.18	Professional		$28.27	$29.75	$99.18