Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $148.54 / $403.10	Facility		$35.29	$148.54	$403.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $343.81	Professional		$35.29	$35.29	$343.81
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 $77.20 / $85.01 / $87.68	Professional		$77.20	$85.01	$87.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $98.03 / $136.88	Professional		$64.16	$98.03	$136.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $106.67 / $253.98	Facility		$32.08	$106.67	$253.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $32.08 / $287.45	Professional		$28.61	$32.08	$287.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.94 / $96.43 / $136.88	Facility		$59.94	$96.43	$136.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $96.43 / $136.35	Professional		$64.16	$96.43	$136.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $90.90 / $109.08	Professional		$62.56	$90.90	$109.08
United Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $64.16	Facility		$53.47	$53.47	$64.16
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $32.08 / $99.53	Professional		$28.61	$32.08	$99.53