Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $111.38 / $168.75	Facility		$111.38	$111.38	$168.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $111.38 / $1,085.06	Professional		$111.38	$111.38	$1,085.06
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 $243.66 / $268.31 / $276.75	Professional		$243.66	$268.31	$276.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $309.42 / $432.00	Professional		$245.00	$309.42	$432.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $253.51 / $801.56	Facility		$101.25	$253.51	$801.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $101.25 / $487.69	Professional		$101.25	$101.25	$487.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $325.70 / $662.41	Facility		$202.50	$325.70	$662.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $309.42 / $432.00	Professional		$202.50	$309.42	$432.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $286.88 / $344.25	Professional		$197.44	$286.88	$344.25
United Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $101.25 / $329.06	Professional		$96.19	$101.25	$329.06