Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $55.93 / $182.36	Facility		$14.19	$55.93	$182.36
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $12.03 / $12.03 / $12.03	Facility	CQ	$12.03	$12.03	$12.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $12.45 / $40.00	Professional		$8.34	$12.45	$40.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.55 / $27.98 / $28.41	Professional	CQ	$7.55	$27.98	$28.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $148.72 / $287.66	Facility		$113.07	$148.72	$287.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $17.27 / $24.27	Professional		$10.66	$17.27	$24.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Facility		$17.00	$17.00	$17.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $20.58 / $26.98	Professional		$9.86	$20.58	$26.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $21.12 / $98.88	Facility		$10.22	$21.12	$98.88
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $22.63 / $48.48 / $48.48	Facility	CQ	$22.63	$48.48	$48.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $15.39 / $51.82	Professional		$9.47	$15.39	$51.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $21.09 / $36.02	Facility		$14.90	$21.09	$36.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $22.18 / $37.65	Professional		$17.00	$22.18	$37.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $22.36 / $25.61	Professional		$11.52	$22.36	$25.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $11.84 / $28.78	Professional		$9.47	$11.84	$28.78