Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $20.56	Facility		$19.19	$19.19	$20.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.19 / $28.89	Professional		$15.00	$19.19	$28.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $215.22 / $416.31	Facility		$163.63	$215.22	$416.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $44.61 / $48.85	Professional		$40.75	$44.61	$48.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $44.39 / $72.23	Professional		$17.97	$44.39	$72.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $31.66 / $46.69	Facility		$19.19	$31.66	$46.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $18.50 / $206.17	Professional		$12.10	$18.50	$206.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $57.13 / $76.44	Facility		$27.56	$57.13	$76.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $50.48 / $76.44	Professional		$27.56	$50.48	$76.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $18.50 / $61.68	Professional		$12.10	$18.50	$61.68