Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $82.96 / $82.96	Facility		$82.96	$82.96	$82.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $82.96 / $92.50	Professional		$36.84	$82.96	$92.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $89.29 / $90.18	Professional		$84.78	$89.29	$90.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $119.46	Facility		$65.00	$65.00	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $119.46 / $236.06	Professional		$65.00	$119.46	$236.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $93.08 / $425.46	Facility		$80.09	$93.08	$425.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $49.14 / $104.01	Professional		$38.14	$49.14	$104.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $121.84 / $236.06	Facility		$119.46	$121.84	$236.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $154.36 / $243.67	Professional		$121.84	$154.36	$243.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $99.10 / $99.10	Professional		$99.10	$99.10	$99.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $49.14 / $83.29	Professional		$38.14	$49.14	$83.29