Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.33 / $69.33 / $69.33	Facility		$69.33	$69.33	$69.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $69.33 / $69.33	Professional		$48.61	$69.33	$69.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $80.93 / $81.76	Professional		$77.67	$80.93	$81.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $120.50 / $209.31	Professional		$89.59	$120.50	$209.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.33 / $121.33 / $267.33	Facility		$69.33	$121.33	$267.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $41.77 / $88.40	Professional		$31.88	$41.77	$88.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $107.58 / $175.98	Facility		$91.83	$107.58	$175.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $96.59 / $183.33	Professional		$80.00	$96.59	$183.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $124.90 / $174.20	Professional		$85.39	$124.90	$174.20
United Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $41.77 / $65.54	Professional		$31.88	$41.77	$65.54