Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $196.45	Facility		$17.20	$17.20	$196.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $19.55 / $25.03	Professional		$17.20	$19.55	$25.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $222.61 / $430.60	Facility		$169.25	$222.61	$430.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $29.37 / $39.57	Professional		$17.42	$29.37	$39.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $37.79 / $87.76	Professional		$24.00	$37.79	$87.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $28.26 / $40.29	Facility		$17.13	$28.26	$40.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $32.24 / $120.34	Professional		$21.49	$32.24	$120.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $36.28 / $47.01	Facility		$26.06	$36.28	$47.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $36.56 / $45.08	Professional		$26.06	$36.56	$45.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Professional		$27.60	$27.60	$27.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $34.24 / $44.55	Professional		$20.21	$34.24	$44.55