Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $62.56	Facility		$58.40	$58.40	$62.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $58.40 / $87.90	Professional		$49.06	$58.40	$87.90
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 $54.66 / $133.16 / $219.85	Professional		$54.66	$133.16	$219.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $99.28 / $134.24	Facility		$55.66	$99.28	$134.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $56.29 / $629.27	Professional		$39.40	$56.29	$629.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $176.91 / $253.84	Facility		$83.45	$176.91	$253.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $167.36 / $230.86	Professional		$83.45	$167.36	$230.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $97.80 / $97.80	Professional		$97.80	$97.80	$97.80
United Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $37.22 / $128.47	Facility		$20.30	$37.22	$128.47
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $56.29 / $130.83	Professional		$39.40	$56.29	$130.83