Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.20 / $39.20 / $39.20	Facility	26	$39.20	$39.20	$39.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $100.24 / $182.30	Professional		$77.31	$100.24	$182.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $161.69 / $225.58	Professional		$99.25	$161.69	$225.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.13 / $231.60 / $264.42	Professional		$197.13	$231.60	$264.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $186.22 / $186.22 / $186.22	Facility	26	$186.22	$186.22	$186.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $197.50 / $706.46	Professional		$116.00	$197.50	$706.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $202.06 / $264.42	Professional		$113.69	$202.06	$264.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $109.25 / $210.10	Professional		$46.04	$109.25	$210.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $202.56 / $251.12	Professional		$125.04	$202.56	$251.12