Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $202.10 / $493.94	Facility		$42.84	$202.10	$493.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.27 / $275.45	Professional		$28.27	$28.27	$275.45
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 $61.85 / $68.12 / $70.26	Professional		$61.85	$68.12	$70.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $87.28 / $109.67	Professional		$51.41	$87.28	$109.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $85.44 / $274.01	Facility		$25.70	$85.44	$274.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $352.23	Professional		$25.70	$25.70	$352.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $88.25 / $134.30	Facility		$51.41	$88.25	$134.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $91.87 / $122.72	Professional		$51.41	$91.87	$122.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.83 / $87.39	Professional		$50.12	$72.83	$87.39
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $25.70 / $85.68	Professional		$24.42	$25.70	$85.68