Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $177.43 / $481.49	Facility		$27.56	$177.43	$481.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $27.56 / $268.52	Professional		$27.56	$27.56	$268.52
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 $60.31 / $66.40 / $68.48	Professional		$60.31	$66.40	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $85.07 / $106.91	Professional		$50.11	$85.07	$106.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $113.41 / $264.00	Facility		$25.06	$113.41	$264.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $343.25	Professional		$25.06	$25.06	$343.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $86.03 / $130.91	Facility		$50.11	$86.03	$130.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $89.55 / $119.62	Professional		$50.11	$89.55	$119.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $70.98 / $85.19	Professional		$48.86	$70.98	$85.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $25.06 / $83.52	Professional		$23.80	$25.06	$83.52