Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $102.41 / $107.80	Professional		$72.29	$102.41	$107.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $133.19 / $158.08	Professional		$110.26	$133.19	$158.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $113.52 / $113.52	Facility	26	$113.52	$113.52	$113.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $68.38 / $425.20	Professional		$60.79	$68.38	$425.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $49.60 / $49.60 / $49.60	Facility	26	$49.60	$49.60	$49.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $121.00 / $165.53	Professional		$80.00	$121.00	$165.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $73.30 / $127.81	Professional		$20.02	$73.30	$127.81
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $63.90 / $126.79	Professional		$57.75	$63.90	$126.79