Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $88.98 / $317.31	Facility		$61.75	$88.98	$317.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $89.03 / $361.92	Professional		$61.75	$89.03	$361.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $892.29 / $1,725.99	Facility		$678.41	$892.29	$1,725.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $123.30 / $184.91	Professional		$65.81	$123.30	$184.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $189.76 / $272.52	Professional		$112.52	$189.76	$272.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $146.37 / $320.16	Facility		$74.05	$146.37	$320.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $191.83 / $504.08	Professional		$114.11	$191.83	$504.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.21 / $177.72 / $261.82	Facility		$106.21	$177.72	$261.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $182.17 / $253.17	Professional		$134.00	$182.17	$253.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $124.72 / $192.85	Professional		$68.55	$124.72	$192.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $196.29 / $255.77	Professional		$114.11	$196.29	$255.77