Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $149.13 / $404.71	Facility		$23.16	$149.13	$404.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $225.63	Professional		$23.16	$23.16	$225.63
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 $50.67 / $55.78 / $57.54	Professional		$50.67	$55.78	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $71.48 / $89.83	Professional		$42.11	$71.48	$89.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $69.88 / $167.46	Facility		$21.05	$69.88	$167.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $289.44	Professional		$21.05	$21.05	$289.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $72.29 / $110.01	Facility		$42.11	$72.29	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $75.23 / $100.53	Professional		$42.11	$75.23	$100.53
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 Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.05 / $31.88	Professional		$20.00	$21.05	$31.88