Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $22.09	Facility		$20.62	$20.62	$22.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $20.62 / $31.04	Professional		$16.05	$20.62	$31.04
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 $49.68 / $49.68 / $49.68	Professional		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $47.00 / $77.64	Professional		$19.28	$47.00	$77.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $33.26 / $49.92	Facility		$20.62	$33.26	$49.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $19.88 / $221.32	Professional		$11.54	$19.88	$221.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $62.48 / $94.94	Facility		$29.50	$62.48	$94.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $53.65 / $81.23	Professional		$29.50	$53.65	$81.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $34.60 / $34.60	Professional		$34.60	$34.60	$34.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $19.88 / $38.77	Professional		$12.74	$19.88	$38.77