Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.55 / $18.55	Facility		$18.55	$18.55	$18.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.60 / $30.26	Professional		$18.55	$21.60	$30.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.87 / $299.57 / $299.57	Facility		$267.87	$299.57	$299.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $70.54 / $70.54	Professional		$67.01	$70.54	$70.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $31.55 / $71.59	Facility		$18.55	$31.55	$71.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $167.71 / $167.71	Professional		$54.08	$167.71	$167.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $45.47 / $83.10	Facility		$30.39	$45.47	$83.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $54.08 / $77.41	Professional		$35.42	$54.08	$77.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $65.00 / $97.00	Professional		$53.00	$65.00	$97.00