Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $33.36	Professional		$33.36	$33.36	$33.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $36.15 / $36.15	Facility		$36.15	$36.15	$36.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $78.76 / $82.92	Professional		$55.61	$78.76	$82.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $92.71 / $129.43	Professional		$73.00	$92.71	$129.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $32.88 / $240.16	Facility		$17.39	$32.88	$240.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $50.56 / $252.80	Professional		$15.42	$50.56	$252.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $91.01 / $110.81	Facility		$31.96	$91.01	$110.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $91.01 / $110.81	Professional		$23.47	$91.01	$110.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $59.16 / $103.14	Professional		$49.19	$59.16	$103.14
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $50.56 / $74.31	Professional		$28.04	$50.56	$74.31