Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $75.65 / $75.65	Facility		$75.65	$75.65	$75.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $70.62	Professional		$70.62	$70.62	$70.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $170.13 / $175.47	Professional		$154.50	$170.13	$175.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $194.53 / $243.17	Professional		$128.40	$194.53	$243.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $160.71 / $508.25	Facility		$64.20	$160.71	$508.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $64.20 / $309.23	Professional		$64.20	$64.20	$309.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.40 / $207.69 / $302.04	Facility		$128.40	$207.69	$302.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $209.79 / $273.92	Professional		$128.40	$209.79	$273.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $125.19 / $218.28	Professional		$125.19	$125.19	$218.28
United Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $64.20 / $96.30	Professional		$60.99	$64.20	$96.30