Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $101.13	Facility		$80.90	$80.90	$101.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $85.96	Professional		$80.90	$80.90	$85.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $104.83 / $3,549.39	Facility		$94.35	$104.83	$3,549.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $104.83 / $104.83	Professional		$99.59	$104.83	$104.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $168.59 / $197.88	Facility		$85.96	$168.59	$197.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $116.98 / $167.58	Professional		$85.96	$116.98	$167.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $137.53 / $218.41	Facility		$80.90	$137.53	$218.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $140.56	Professional		$136.47	$136.47	$140.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.37 / $111.99 / $167.39	Facility		$88.37	$111.99	$167.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $116.98 / $167.58	Professional		$105.78	$116.98	$167.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $158.69 / $192.40	Professional		$158.69	$158.69	$192.40
United Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $136.47 / $136.47	Professional		$129.65	$136.47	$136.47