Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $109.98 / $192.10	Facility		$80.50	$109.98	$192.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $104.99 / $176.71	Professional		$69.40	$104.99	$176.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
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 $89.82 / $164.84 / $253.65	Professional		$89.82	$164.84	$253.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $200.93 / $309.52	Professional		$97.42	$200.93	$309.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $116.85 / $216.17	Facility		$76.20	$116.85	$216.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $121.61 / $569.78	Professional		$42.31	$121.61	$569.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.86 / $172.31 / $254.45	Facility		$99.86	$172.31	$254.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $168.14 / $247.41	Professional		$99.86	$168.14	$247.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $167.42 / $276.77	Professional		$96.02	$167.42	$276.77
United Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $109.95 / $200.18	Professional		$42.31	$109.95	$200.18