Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $86.40 / $115.79	Facility		$24.10	$86.40	$115.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $141.78	Professional		$24.10	$24.10	$141.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.35 / $1,648.48 / $3,094.62	Facility		$1,216.35	$1,648.48	$3,094.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $39.10 / $52.68	Professional		$23.18	$39.10	$52.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $54.76 / $90.00	Professional		$29.84	$54.76	$90.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $48.20 / $620.88	Facility		$24.10	$48.20	$620.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $60.49 / $1,180.70	Professional		$34.35	$60.49	$1,180.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $60.03 / $81.84	Facility		$48.31	$60.03	$81.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.03 / $90.00	Professional		$44.20	$60.03	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $63.00 / $129.50	Professional		$27.04	$63.00	$129.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $59.45 / $89.18	Professional		$34.35	$59.45	$89.18