Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $45.75 / $45.75	Facility		$45.75	$45.75	$45.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $55.53 / $120.00	Professional		$45.75	$55.53	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $193.05 / $373.43	Facility		$146.78	$193.05	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $73.31 / $99.51	Professional		$43.78	$73.31	$99.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $92.06 / $116.49	Professional		$60.46	$92.06	$116.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $75.48 / $114.51	Facility		$41.18	$75.48	$114.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $93.33 / $293.12	Professional		$69.14	$93.33	$293.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $89.44 / $116.49	Facility		$60.46	$89.44	$116.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $89.44 / $119.30	Professional		$60.46	$89.44	$119.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $95.93 / $115.09	Professional		$66.11	$95.93	$115.09