Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $132.66 / $231.25	Facility		$19.00	$132.66	$231.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $17.73 / $172.84	Professional		$17.73	$17.73	$172.84
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 $38.82 / $42.74 / $44.07	Professional		$38.82	$42.74	$44.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $49.29 / $68.81	Professional		$32.26	$49.29	$68.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $59.14 / $127.68	Facility		$16.13	$59.14	$127.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $261.52	Professional		$16.13	$16.13	$261.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $51.89 / $72.20	Facility		$32.26	$51.89	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $49.29 / $68.81	Professional		$32.26	$49.29	$68.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $45.70 / $54.84	Professional		$31.45	$45.70	$54.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $16.13 / $18.21	Professional		$15.32	$16.13	$18.21