Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $17.37	Professional		$17.37	$17.37	$17.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.05 / $377.05 / $377.05	Facility		$377.05	$377.05	$377.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $41.38 / $43.56	Professional		$29.21	$41.38	$43.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $50.65 / $64.65	Professional		$42.00	$50.65	$64.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $48.68 / $131.69	Facility		$17.37	$48.68	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.32 / $214.00	Professional		$19.50	$26.32	$214.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $50.65 / $66.89	Facility		$36.00	$50.65	$66.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $45.87 / $64.65	Professional		$31.90	$45.87	$64.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $24.85 / $52.77	Professional		$14.46	$24.85	$52.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.07 / $48.73	Professional		$19.50	$25.07	$48.73