Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $14.67 / $14.67	Professional		$14.67	$14.67	$14.67
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 $24.44 / $34.64 / $36.46	Professional		$24.44	$34.64	$36.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $36.29 / $78.00	Professional		$36.08	$36.29	$78.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $60.37 / $181.05	Facility		$14.67	$60.37	$181.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $30.32 / $314.77	Professional		$22.23	$30.32	$314.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $36.29 / $56.00	Facility		$32.60	$36.29	$56.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $36.29 / $50.00	Professional		$29.11	$36.29	$50.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $29.60 / $45.35	Professional		$20.35	$29.60	$45.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $22.23 / $44.46	Professional		$21.12	$22.23	$44.46