Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $126.25 / $159.99	Facility		$57.90	$126.25	$159.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $57.90 / $72.38	Professional		$57.90	$57.90	$72.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.42 / $114.61 / $114.61	Facility		$97.42	$114.61	$114.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $114.61 / $114.61	Professional		$108.88	$114.61	$114.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $97.28 / $143.06	Professional		$61.52	$97.28	$143.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $86.85 / $112.91	Facility		$52.11	$86.85	$112.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $477.55	Professional		$60.32	$60.32	$477.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $93.08 / $141.72	Facility		$69.31	$93.08	$141.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $97.28 / $143.06	Professional		$72.83	$97.28	$143.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $77.80 / $160.30	Professional		$77.80	$77.80	$160.30
United Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $60.32 / $72.38	Professional		$57.30	$60.32	$72.38