Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $33.11	Professional		$23.99	$30.90	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $1,023.29	Facility		$398.11	$524.81	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $147.91	Professional		$134.90	$138.04	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $77.62	Professional		$28.18	$45.71	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $51.29 / $165.96	Facility		$25.12	$51.29	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $25.70 / $199.53	Professional		$3.31	$25.70	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $77.62	Professional		$27.54	$33.88	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $81.28	Professional		$28.18	$52.48	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $138.04	Professional		$104.71	$117.49	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.82 / $72.44	Facility		$2.69	$2.82	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $22.39 / $151.36	Professional		$3.31	$22.39	$151.36