Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $167.06	Facility		$51.31	$51.31	$167.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $51.31 / $51.31	Professional		$35.00	$51.31	$51.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $38.07 / $71.47	Facility		$28.09	$38.07	$71.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $81.56 / $84.15	Professional		$74.09	$81.56	$84.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $61.57 / $66.89	Professional		$53.51	$61.57	$66.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $97.49 / $243.72	Facility		$30.79	$97.49	$243.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $148.29	Professional		$30.79	$30.79	$148.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $69.27 / $131.35	Facility		$61.57	$69.27	$131.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $93.66 / $131.35	Professional		$61.57	$93.66	$131.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $60.03 / $104.67	Professional		$60.03	$60.03	$104.67
United Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $30.79 / $55.00	Professional		$29.25	$30.79	$55.00