Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $149.13 / $404.71	Facility		$23.16	$149.13	$404.71
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 $42.11 / $71.48 / $89.83	Professional		$42.11	$71.48	$89.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $107.07 / $166.68	Facility		$21.05	$107.07	$166.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $138.03	Professional		$21.05	$21.05	$138.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $72.29 / $100.38	Facility		$42.11	$72.29	$100.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $71.48 / $96.02	Professional		$42.11	$71.48	$96.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $41.06 / $71.58	Professional		$34.14	$41.06	$71.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.05 / $70.18	Professional		$20.00	$21.05	$70.18