Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $52.67 / $52.67	Professional		$47.50	$52.67	$52.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.85 / $476.84 / $895.15	Facility		$351.85	$476.84	$895.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $50.00 / $50.00	Professional		$47.50	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $23.81 / $29.52	Professional		$18.75	$23.81	$29.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $52.67 / $89.01	Facility		$47.50	$52.67	$89.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $97.50 / $131.19	Professional		$76.50	$97.50	$131.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $120.00	Professional		$60.00	$60.00	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $97.50 / $125.50	Professional		$73.34	$97.50	$125.50