Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $115.00 / $142.60	Professional		$43.00	$115.00	$142.60
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 $39.64 / $41.74 / $42.15	Professional		$39.64	$41.74	$42.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $79.06 / $116.29	Professional		$56.35	$79.06	$116.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $172.50 / $218.50	Facility		$73.39	$172.50	$218.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $104.00 / $301.64	Professional		$79.56	$104.00	$301.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $75.69 / $116.29	Facility		$56.35	$75.69	$116.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $76.05 / $116.29	Professional		$56.35	$76.05	$116.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $236.20	Professional		$138.00	$138.00	$236.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $108.60 / $274.27	Professional		$79.56	$108.60	$274.27