Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $133.34 / $164.98	Facility		$69.37	$133.34	$164.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $130.04	Professional		$69.37	$69.37	$130.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $75.26 / $75.26	Facility		$63.97	$75.26	$75.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $85.06 / $95.04	Professional		$80.81	$85.06	$95.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $82.05 / $113.81	Professional		$69.37	$82.05	$113.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $112.36 / $147.22	Facility		$69.73	$112.36	$147.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $82.28 / $116.24	Professional		$73.91	$82.28	$116.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $88.69 / $129.56	Facility		$66.51	$88.69	$129.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $89.77 / $113.81	Professional		$60.99	$89.77	$113.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $109.20 / $141.51	Professional		$64.84	$109.20	$141.51
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $82.55	Professional		$69.37	$69.37	$82.55