Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $23.50	Facility		$11.75	$11.75	$23.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.68 / $24.98	Professional		$11.75	$17.68	$24.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $113.63 / $113.63	Facility		$101.61	$113.63	$113.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $24.03 / $46.89	Professional		$12.13	$24.03	$46.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Facility		$23.00	$23.00	$23.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $34.90 / $59.48	Professional		$17.98	$34.90	$59.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.50 / $45.23	Facility		$11.75	$23.50	$45.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $46.14 / $250.96	Professional		$28.39	$46.14	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $34.90 / $59.06	Facility		$16.76	$34.90	$59.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $33.52 / $58.37	Professional		$17.21	$33.52	$58.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $38.70 / $44.77	Professional		$20.23	$38.70	$44.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $41.41 / $60.96	Professional		$28.39	$41.41	$60.96