Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $93.33	Professional		$60.26	$69.18	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $338.84	Facility		$144.54	$251.19	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $134.90	Professional		$58.88	$97.72	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $165.96	Professional		$66.07	$128.82	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $75.86 / $123.03	Facility		$58.88	$75.86	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $575.44	Professional		$60.26	$123.03	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $158.49	Professional		$93.33	$128.82	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $151.36 / $151.36	Professional		$48.98	$151.36	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $112.20	Professional		$60.26	$69.18	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $162.18	Professional		$60.26	$104.71	$162.18