Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $103.46 / $110.83	Facility		$103.46	$103.46	$110.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $103.46 / $103.46	Professional		$103.46	$103.46	$103.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $288.19 / $557.46	Facility		$219.11	$288.19	$557.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.34 / $249.22 / $257.06	Professional		$226.34	$249.22	$257.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $285.27 / $356.59	Professional		$188.10	$285.27	$356.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $103.46 / $744.56	Facility		$56.43	$103.46	$744.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $94.05 / $453.01	Professional		$94.05	$94.05	$453.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $188.10 / $274.31 / $343.53	Facility		$188.10	$274.31	$343.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $308.48 / $391.88	Professional		$188.10	$308.48	$391.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $183.40 / $319.77	Professional		$183.40	$183.40	$319.77
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Facility		$156.75	$156.75	$156.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $94.05 / $305.66	Professional		$89.35	$94.05	$305.66