Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
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 $28.84 / $40.85 / $43.00	Professional		$28.84	$40.85	$43.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $33.83 / $81.00	Professional		$33.07	$33.83	$81.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $61.78 / $183.42	Facility		$17.30	$61.78	$183.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $28.51 / $307.52	Professional		$26.22	$28.51	$307.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $33.83 / $57.00	Facility		$30.85	$33.83	$57.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $33.83 / $52.00	Professional		$29.11	$33.83	$52.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.68 / $53.49	Professional		$19.32	$30.68	$53.49
United Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $26.22 / $64.06	Professional		$24.91	$26.22	$64.06