Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $97.91 / $112.60	Facility		$40.75	$97.91	$112.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $50.94	Professional		$40.75	$40.75	$50.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $45.88 / $45.88	Facility		$39.00	$45.88	$45.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $45.88 / $45.88	Professional		$43.59	$45.88	$45.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $47.30 / $53.05	Professional		$28.87	$47.30	$53.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $61.13 / $77.54	Facility		$40.75	$61.13	$77.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $43.57 / $227.88	Professional		$40.53	$43.57	$227.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $47.30 / $64.00	Facility		$40.75	$47.30	$64.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $50.94 / $71.15	Professional		$40.75	$50.94	$71.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Professional		$47.80	$47.80	$47.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $48.23	Professional		$40.53	$40.53	$48.23