Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.75 / $47.75 / $47.75	Facility	26	$47.75	$47.75	$47.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $105.38 / $525.00	Professional		$94.20	$105.38	$525.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $171.47 / $237.15	Professional		$104.34	$171.47	$237.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $244.27 / $294.37	Professional		$211.75	$244.27	$294.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $225.58 / $225.58 / $225.58	Facility	26	$225.58	$225.58	$225.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $226.64 / $803.29	Professional		$132.77	$226.64	$803.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $232.18 / $303.86	Professional		$143.74	$232.18	$303.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $110.63 / $228.24	Professional		$57.53	$110.63	$228.24
United Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $244.93 / $277.97	Professional		$153.26	$244.93	$277.97