Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $66.05 / $66.05	Facility		$66.05	$66.05	$66.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $66.05 / $79.41	Professional		$56.59	$66.05	$79.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $63.90 / $64.54	Professional		$60.71	$63.90	$64.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $113.55 / $173.30	Professional		$61.30	$113.55	$173.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $109.91 / $159.96	Facility		$66.05	$109.91	$159.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $137.26 / $440.72	Professional		$107.70	$137.26	$440.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $116.39 / $178.88	Facility		$86.28	$116.39	$178.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $116.39 / $178.88	Professional		$87.35	$116.39	$178.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $142.40 / $185.80	Professional		$87.30	$142.40	$185.80
United Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $134.74 / $172.67	Professional		$93.84	$134.74	$172.67