Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $24.81 / $89.61	Facility		$23.16	$24.81	$89.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $104.38 / $201.90	Facility		$79.36	$104.38	$201.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $55.78 / $57.54	Professional		$50.67	$55.78	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $45.47 / $89.83	Professional		$36.38	$45.47	$89.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $72.12 / $166.68	Facility		$21.05	$72.12	$166.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $139.12	Professional		$21.05	$21.05	$139.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $49.81 / $76.50	Facility		$42.11	$49.81	$76.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $60.18 / $91.23	Professional		$42.11	$60.18	$91.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $71.58	Professional		$41.06	$41.06	$71.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.05 / $31.58	Professional		$20.00	$21.05	$31.58