Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $73.70	Facility		$68.81	$68.81	$73.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $68.81 / $103.58	Professional		$53.46	$68.81	$103.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $215.22 / $416.31	Facility		$163.63	$215.22	$416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $157.32 / $259.05	Professional		$64.20	$157.32	$259.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $111.63 / $184.56	Facility		$65.48	$111.63	$184.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $66.33 / $739.96	Professional		$43.54	$66.33	$739.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.21 / $207.77 / $271.88	Facility		$98.21	$207.77	$271.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $179.58 / $271.88	Professional		$98.21	$179.58	$271.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $115.10	Professional		$115.10	$115.10	$115.10
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $66.33 / $143.52	Professional		$43.54	$66.33	$143.52