Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $80.67 / $122.22	Facility		$80.67	$80.67	$122.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $80.67 / $785.88	Professional		$80.67	$80.67	$785.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $194.33 / $200.44	Professional		$176.47	$194.33	$200.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $249.00 / $312.88	Professional		$146.66	$249.00	$312.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $226.48 / $580.54	Facility		$73.33	$226.48	$580.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $436.07	Professional		$73.33	$73.33	$436.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $251.77 / $592.29	Facility		$146.66	$251.77	$592.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $249.00 / $318.99	Professional		$146.66	$249.00	$318.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $207.77 / $249.33	Professional		$143.00	$207.77	$249.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $73.33 / $98.08	Professional		$69.67	$73.33	$98.08