Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $122.23 / $130.93	Facility		$122.23	$122.23	$130.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $122.23 / $122.23	Professional		$122.23	$122.23	$122.23
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 $267.43 / $294.47 / $303.73	Professional		$267.43	$294.47	$303.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $336.84 / $421.06	Professional		$222.24	$336.84	$421.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $122.23 / $879.70	Facility		$66.67	$122.23	$879.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $111.12 / $535.23	Professional		$111.12	$111.12	$535.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $338.68 / $405.89	Facility		$222.24	$338.68	$405.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $364.46 / $474.11	Professional		$222.24	$364.46	$474.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $216.68 / $377.81	Professional		$216.68	$216.68	$377.81
United Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $111.12 / $166.68	Professional		$105.56	$111.12	$166.68