Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $19.89	Facility		$18.57	$18.57	$19.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $18.57 / $27.97	Professional		$14.37	$18.57	$27.97
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 $39.45 / $41.10 / $45.07	Professional		$39.45	$41.10	$45.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $42.43 / $69.94	Professional		$17.41	$42.43	$69.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $27.87 / $40.60	Facility		$11.12	$27.87	$40.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $17.91 / $199.62	Professional		$11.45	$17.91	$199.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $56.28 / $80.33	Facility		$26.40	$56.28	$80.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $48.34 / $73.19	Professional		$26.40	$48.34	$73.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $17.91 / $38.77	Professional		$11.69	$17.91	$38.77