Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $56.29 / $168.09	Facility		$22.88	$56.29	$168.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $56.29 / $121.31	Professional		$22.88	$56.29	$121.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $58.19 / $112.56	Facility		$44.24	$58.19	$112.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $52.28 / $114.69	Professional		$23.89	$52.28	$114.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $114.12 / $157.03	Professional		$43.52	$114.12	$157.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $48.46 / $104.14	Facility		$22.88	$48.46	$104.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $142.05 / $226.03	Professional		$106.17	$142.05	$226.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $114.12 / $155.65	Facility		$43.52	$114.12	$155.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $112.62 / $177.35	Professional		$43.52	$112.62	$177.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $49.07 / $108.01	Professional		$22.02	$49.07	$108.01
United Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $138.78 / $170.21	Professional		$111.02	$138.78	$170.21