Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $78.70	Professional		$71.55	$71.55	$78.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $81.00 / $81.00	Facility		$68.84	$81.00	$81.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $81.00 / $81.00	Professional		$76.95	$81.00	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $23.87 / $71.55	Facility		$23.87	$23.87	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $71.55 / $110.19	Professional		$29.24	$71.55	$110.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $84.22 / $132.37	Facility		$30.30	$84.22	$132.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $79.78	Professional		$71.55	$71.55	$79.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $85.86 / $85.86	Facility		$38.43	$85.86	$85.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $51.71 / $85.86	Professional		$16.80	$51.71	$85.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $27.20	Professional		$22.50	$22.50	$27.20
United Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $71.55 / $78.70	Professional		$67.97	$71.55	$78.70