Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $41.48 / $60.56	Facility		$41.47	$41.48	$60.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $54.29 / $95.62	Professional		$39.49	$54.29	$95.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.29 / $54.29 / $54.29	Professional	25	$54.29	$54.29	$54.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $129.44 / $262.56	Facility		$97.08	$129.44	$262.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $41.47 / $58.57	Professional		$39.10	$41.47	$58.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $78.48 / $145.86	Professional		$59.53	$78.48	$145.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $59.68 / $109.95	Facility		$41.48	$59.68	$109.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $118.05 / $277.58	Professional		$94.77	$118.05	$277.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $80.43 / $118.66	Facility		$72.79	$80.43	$118.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $84.39 / $145.86	Professional		$62.60	$84.39	$145.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $73.12 / $127.50	Professional		$42.82	$73.12	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $129.21 / $151.85	Professional		$97.73	$129.21	$151.85