Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $39.06	Facility		$39.06	$39.06	$39.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $39.06 / $39.06	Professional		$27.39	$39.06	$39.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $45.60 / $46.07	Professional		$43.77	$45.60	$46.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $67.90 / $117.94	Professional		$50.48	$67.90	$117.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $68.36 / $263.91	Facility		$39.06	$68.36	$263.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $23.54 / $49.82	Professional		$17.96	$23.54	$49.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $61.33 / $99.17	Facility		$51.74	$61.33	$99.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $64.86 / $117.94	Professional		$51.74	$64.86	$117.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $70.40 / $98.16	Professional		$48.12	$70.40	$98.16
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $23.54 / $36.94	Professional		$17.05	$23.54	$36.94