Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.60 / $18.60 / $18.60	Facility	26	$18.60	$18.60	$18.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $89.23 / $103.68	Professional		$71.03	$89.23	$103.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $143.43 / $200.80	Professional		$88.35	$143.43	$200.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $191.92 / $233.77	Professional		$162.75	$191.92	$233.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.36 / $122.36 / $122.36	Facility	26	$122.36	$122.36	$122.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $174.39 / $641.64	Professional		$73.22	$174.39	$641.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $177.12 / $233.77	Professional		$65.40	$177.12	$233.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $94.86 / $182.43	Professional		$21.94	$94.86	$182.43
United Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $174.39 / $219.37	Professional		$94.30	$174.39	$219.37