Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $109.81 / $182.36	Facility		$56.44	$109.81	$182.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $38.32 / $156.00	Professional		$14.40	$38.32	$156.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $304.82 / $589.62	Facility		$231.75	$304.82	$589.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $70.51 / $99.06	Professional		$43.59	$70.51	$99.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $55.78 / $68.00	Facility		$55.78	$55.78	$68.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $72.47 / $106.98	Professional		$40.29	$72.47	$106.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $74.31 / $116.58	Facility		$36.77	$74.31	$116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $47.11 / $114.52	Professional		$37.69	$47.11	$114.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $63.48 / $90.85	Facility		$49.72	$63.48	$90.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $75.52 / $112.90	Professional		$45.36	$75.52	$112.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $88.25 / $98.21	Professional		$50.61	$88.25	$98.21
United Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $47.11 / $108.80	Professional		$37.69	$47.11	$108.80