Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $120.23	Professional		$56.23	$64.57	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $181.97	Facility		$154.88	$154.88	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $147.91	Professional		$66.07	$112.20	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $194.98	Professional		$72.44	$125.89	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $97.72 / $134.90	Facility		$63.10	$97.72	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $467.74	Professional		$89.13	$134.90	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $173.78	Professional		$104.71	$144.54	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $173.78	Professional		$120.23	$144.54	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $186.21	Professional		$141.25	$147.91	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $181.97	Professional		$77.62	$125.89	$181.97