Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $30.39 / $39.34	Professional		$23.94	$30.39	$39.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.14 / $461.85 / $893.37	Facility		$351.14	$461.85	$893.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $38.04 / $38.43	Professional		$36.50	$38.04	$38.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $61.91 / $103.75	Professional		$35.19	$61.91	$103.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $45.75 / $179.16	Facility		$26.14	$45.75	$179.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $81.88 / $335.71	Professional		$55.66	$81.88	$335.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $62.10 / $107.09	Facility		$51.88	$62.10	$107.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $70.03 / $107.09	Professional		$51.88	$70.03	$107.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $58.20 / $58.20	Professional		$58.20	$58.20	$58.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $81.88 / $103.00	Professional		$50.81	$81.88	$103.00