Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $13.68 / $14.65	Facility		$13.68	$13.68	$14.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $13.68 / $20.59	Professional		$10.78	$13.68	$20.59
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 $30.57 / $32.67 / $33.00	Professional		$30.57	$32.67	$33.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $31.99 / $51.51	Professional		$12.92	$31.99	$51.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $22.07 / $36.22	Facility		$13.20	$22.07	$36.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $13.19 / $147.55	Professional		$8.16	$13.19	$147.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $41.45 / $57.04	Facility		$19.80	$41.45	$57.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $36.13 / $54.70	Professional		$19.80	$36.13	$54.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $23.20	Professional		$23.20	$23.20	$23.20
United Facility/Professional Facility Modifier Low / Median / High Price $297.45 / $297.45 / $329.06	Facility		$297.45	$297.45	$329.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $12.53 / $26.29	Professional		$8.66	$12.53	$26.29