Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $89.13	Professional		$50.12	$66.07	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Facility		$218.78	$218.78	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $64.57	Professional		$60.26	$63.10	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $162.18	Professional		$61.66	$87.10	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $138.04	Facility		$66.07	$95.50	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $436.52	Professional		$72.44	$134.90	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $162.18	Professional		$89.13	$117.49	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $162.18	Professional		$89.13	$117.49	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $173.78	Professional		$134.90	$154.88	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Facility		$0.07	$0.07	$0.07
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $169.82	Professional		$70.79	$114.82	$169.82