Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $38.90	Professional		$18.20	$30.90	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $165.96	Facility		$120.23	$125.89	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $20.89	Professional		$19.50	$20.42	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $52.48	Professional		$19.05	$36.31	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $75.86	Facility		$25.12	$45.71	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $151.36	Professional		$25.12	$48.98	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $52.48	Professional		$33.11	$37.15	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $52.48	Professional		$31.62	$40.74	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
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 $23.99 / $42.66 / $70.79	Professional		$23.99	$42.66	$70.79