Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $34.94 / $34.94	Facility		$34.94	$34.94	$34.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $199.05	Professional		$34.94	$34.94	$199.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $715.74 / $1,343.62	Facility		$528.12	$715.74	$1,343.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $55.96 / $75.37	Professional		$33.17	$55.96	$75.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $74.68 / $93.91	Professional		$43.13	$74.68	$93.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $64.64 / $97.04	Facility		$34.94	$64.64	$97.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $71.41 / $227.75	Professional		$58.59	$71.41	$227.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $83.55 / $98.48	Facility		$69.13	$83.55	$98.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $76.25 / $96.94	Professional		$57.54	$76.25	$96.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $64.78 / $76.56	Professional		$33.68	$64.78	$76.56
United Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $71.41 / $89.83	Professional		$58.59	$71.41	$89.83