Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $78.68 / $78.68	Facility		$78.68	$78.68	$78.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $78.68 / $125.00	Professional		$30.35	$78.68	$125.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $91.85 / $92.79	Professional		$88.15	$91.85	$92.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $136.75 / $237.54	Professional		$101.67	$136.75	$237.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $137.69 / $314.33	Facility		$78.68	$137.69	$314.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $47.40 / $100.33	Professional		$36.18	$47.40	$100.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $122.09 / $199.74	Facility		$104.21	$122.09	$199.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $109.62 / $208.04	Professional		$93.00	$109.62	$208.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $141.69 / $197.72	Professional		$96.92	$141.69	$197.72
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $47.40 / $74.36	Professional		$34.36	$47.40	$74.36