Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $52.81	Facility		$44.67	$44.67	$52.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $45.37 / $53.45	Professional		$41.58	$45.37	$53.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $129.44 / $262.56	Facility		$97.08	$129.44	$262.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $83.64 / $114.03	Professional		$49.67	$83.64	$114.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $114.11 / $140.94	Professional		$97.93	$114.11	$140.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $54.29 / $97.70	Facility		$44.59	$54.29	$97.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $116.08 / $320.01	Professional		$71.44	$116.08	$320.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $100.38 / $128.63	Facility		$71.81	$100.38	$128.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $100.38 / $128.63	Professional		$71.81	$100.38	$128.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $92.60 / $122.15	Professional		$53.11	$92.60	$122.15
United Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $116.08 / $147.41	Professional		$72.63	$116.08	$147.41