Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $33.75 / $128.78	Facility		$23.16	$33.75	$128.78
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 $51.00 / $71.66 / $89.83	Professional		$51.00	$71.66	$89.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $69.19 / $166.68	Facility		$21.05	$69.19	$166.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $101.41	Professional		$21.05	$21.05	$101.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.66 / $137.97	Facility		$42.11	$71.66	$137.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $71.66 / $89.83	Professional		$42.11	$71.66	$89.83
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 / $68.43	Professional		$20.00	$21.05	$68.43