Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $28.25 / $28.25	Facility		$28.25	$28.25	$28.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $28.25 / $40.90	Professional		$28.25	$28.25	$40.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.12 / $331.61 / $641.44	Facility		$252.12	$331.61	$641.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $47.74 / $64.31	Professional		$28.30	$47.74	$64.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $84.62 / $158.19	Professional		$40.00	$84.62	$158.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $43.73 / $65.40	Facility		$24.04	$43.73	$65.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $53.47 / $194.73	Professional		$34.14	$53.47	$194.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $58.79 / $76.09	Facility		$41.01	$58.79	$76.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $56.73 / $74.26	Professional		$35.63	$56.73	$74.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $57.69 / $72.43	Professional		$33.09	$57.69	$72.43
United Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $54.56 / $69.76	Professional		$31.96	$54.56	$69.76