Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $111.28 / $404.71	Facility		$29.76	$111.28	$404.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $26.30 / $220.01	Professional		$23.16	$26.30	$220.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $104.38 / $201.90	Facility		$79.36	$104.38	$201.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $54.34 / $57.54	Professional		$28.07	$54.34	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $63.32 / $79.15	Professional		$40.06	$63.32	$79.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $77.08 / $166.68	Facility		$23.16	$77.08	$166.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $138.34	Professional		$21.05	$21.05	$138.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $71.48 / $110.01	Facility		$42.98	$71.48	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $74.09 / $101.09	Professional		$42.14	$74.09	$101.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $59.65 / $71.58	Professional		$41.06	$59.65	$71.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.05 / $70.18	Professional		$20.00	$21.05	$70.18