Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $141.25	Professional		$67.61	$93.33	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $144.54	Professional		$138.04	$141.25	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $309.03	Professional		$60.26	$169.82	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $467.74	Facility		$109.65	$194.98	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $204.17	Professional		$48.98	$74.13	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $371.54	Professional		$162.18	$165.96	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $371.54	Professional		$204.17	$371.54	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $288.40	Professional		$151.36	$208.93	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $117.49	Professional		$48.98	$74.13	$117.49