Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $149.13 / $422.16	Facility		$26.76	$149.13	$422.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $26.76 / $260.74	Professional		$26.76	$26.76	$260.74
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 $58.56 / $64.45 / $66.50	Professional		$58.56	$64.45	$66.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $74.34 / $103.81	Professional		$48.66	$74.34	$103.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $107.07 / $192.61	Facility		$24.33	$107.07	$192.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $24.33 / $138.03	Professional		$24.33	$24.33	$138.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $78.25 / $103.81	Facility		$48.66	$78.25	$103.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $74.34 / $103.81	Professional		$48.66	$74.34	$103.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $47.44 / $82.72	Professional		$39.46	$47.44	$82.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $24.33 / $81.09	Professional		$23.11	$24.33	$81.09