Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Facility		$38.00	$38.00	$38.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $38.00 / $47.12	Professional		$21.50	$38.00	$47.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.62 / $140.49 / $140.49	Facility		$125.62	$140.49	$140.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $20.71 / $20.93	Professional		$19.68	$20.71	$20.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $39.25 / $57.72	Professional		$27.97	$39.25	$57.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $60.00 / $72.20	Facility		$33.02	$60.00	$72.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $52.00 / $149.71	Professional		$39.78	$52.00	$149.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $37.56 / $57.72	Facility		$27.97	$37.56	$57.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $37.74 / $57.72	Professional		$27.97	$37.74	$57.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $78.80	Professional		$45.60	$45.60	$78.80
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $54.30 / $95.38	Professional		$41.60	$54.30	$95.38