Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $21.68	Facility		$19.20	$19.20	$21.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $21.42 / $27.91	Professional		$17.94	$21.42	$27.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.90 / $517.53 / $617.03	Facility		$439.90	$517.53	$617.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $33.17 / $45.22	Professional		$19.46	$33.17	$45.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $45.62 / $55.37	Professional		$17.00	$45.62	$55.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $23.25 / $41.19	Facility		$18.44	$23.25	$41.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $39.97 / $142.02	Professional		$17.89	$39.97	$142.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $47.57 / $61.45	Facility		$42.07	$47.57	$61.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $47.57 / $57.73	Professional		$41.78	$47.57	$57.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $20.28 / $40.74	Professional		$17.28	$20.28	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $31.66 / $56.03	Professional		$17.46	$31.66	$56.03