Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $93.80 / $254.56	Facility		$22.72	$93.80	$254.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $22.72 / $221.39	Professional		$22.72	$22.72	$221.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $54.74 / $56.46	Professional		$49.71	$54.74	$56.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $70.93 / $88.14	Professional		$62.02	$70.93	$88.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $68.56 / $375.00	Facility		$20.66	$68.56	$375.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $34.43 / $777.00	Professional		$27.30	$34.43	$777.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $62.19 / $93.10	Facility		$41.35	$62.19	$93.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $65.76 / $88.14	Professional		$42.17	$65.76	$88.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $58.53 / $70.23	Professional		$40.28	$58.53	$70.23
United Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $14.46 / $20.66	Facility		$12.39	$14.46	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $34.43 / $61.97	Professional		$20.66	$34.43	$61.97