Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $28.84	Facility		$26.92	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $173.78	Professional		$18.20	$30.20	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,715.35	Facility		$1,445.44	$1,819.70	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $66.07	Professional		$28.84	$47.86	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $74.13	Professional		$28.18	$42.66	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $1,778.28	Facility		$30.20	$52.48	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $89.13	Professional		$48.98	$60.26	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $79.43	Professional		$45.71	$52.48	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $81.28	Professional		$50.12	$57.54	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $83.18	Professional		$44.67	$61.66	$83.18