Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $707.95	Professional		$120.23	$147.91	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $288.40	Professional		$114.82	$199.53	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $389.05	Professional		$134.90	$302.00	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $2,630.27	Professional		$169.82	$263.03	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $398.11	Professional		$288.40	$302.00	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $257.04 / $323.59	Professional		$6.03	$257.04	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $346.74	Professional		$169.82	$239.88	$346.74