Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.83 / $94.83 / $94.83	Facility		$94.83	$94.83	$94.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $444.30 / $859.42	Facility		$337.80	$444.30	$859.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.69 / $213.27 / $219.97	Professional		$193.69	$213.27	$219.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $244.15 / $305.18	Professional		$160.96	$244.15	$305.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $168.21 / $637.12	Facility		$80.48	$168.21	$637.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $387.64	Professional		$80.48	$80.48	$387.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $245.29 / $293.97	Facility		$160.96	$245.29	$293.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $262.47 / $343.37	Professional		$160.96	$262.47	$343.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $156.93 / $273.63	Professional		$156.93	$156.93	$273.63
United Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $147.54 / $536.52	Facility		$80.48	$147.54	$536.52
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $261.55	Professional		$56.33	$80.48	$261.55