Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $105.30 / $209.00	Facility		$32.45	$105.30	$209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $53.98 / $128.91	Professional		$13.23	$53.98	$128.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $36.95 / $71.47	Facility		$28.09	$36.95	$71.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $31.87 / $32.88	Professional		$28.96	$31.87	$32.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $40.85 / $51.33	Professional		$24.06	$40.85	$51.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $61.20 / $95.52	Facility		$12.03	$61.20	$95.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $166.43	Professional		$12.03	$12.03	$166.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $41.30 / $62.86	Facility		$24.06	$41.30	$62.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $43.00 / $57.46	Professional		$24.06	$43.00	$57.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $34.09 / $40.90	Professional		$23.46	$34.09	$40.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $12.03 / $53.35	Professional		$11.43	$12.03	$53.35