Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $22.69	Facility		$22.69	$22.69	$22.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $28.13 / $89.26	Professional		$22.69	$28.13	$89.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.77 / $517.53 / $517.53	Facility		$462.77	$517.53	$517.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $78.62 / $78.62	Professional		$74.70	$78.62	$78.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $38.57 / $195.25	Facility		$22.69	$38.57	$195.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $380.66 / $380.66	Professional		$72.23	$380.66	$380.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $69.58 / $198.75	Facility		$36.69	$69.58	$198.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $129.32 / $166.04	Professional		$43.67	$129.32	$166.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $54.80	Professional		$39.60	$39.60	$54.80
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $67.00 / $73.00	Professional		$52.00	$67.00	$73.00