Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $38.58 / $38.89	Facility		$38.58	$38.58	$38.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $38.89 / $56.68	Professional		$38.58	$38.89	$56.68
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 $37.04 / $62.52 / $84.20	Professional		$37.04	$62.52	$84.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $86.47 / $102.94	Professional		$47.06	$86.47	$102.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $66.11 / $106.42	Facility		$38.89	$66.11	$106.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $79.34 / $255.15	Professional		$64.26	$79.34	$255.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $92.89 / $108.09	Facility		$77.20	$92.89	$108.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $84.99 / $106.62	Professional		$63.40	$84.99	$106.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $72.47 / $83.75	Professional		$43.20	$72.47	$83.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $87.90 / $98.51	Professional		$64.26	$87.90	$98.51