Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $204.19 / $567.41	Facility		$65.69	$204.19	$567.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $43.36 / $422.39	Professional		$43.36	$43.36	$422.39
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 $94.85 / $104.45 / $107.73	Professional		$94.85	$104.45	$107.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $120.46 / $168.17	Professional		$97.00	$120.46	$168.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $150.15 / $312.02	Facility		$39.40	$150.15	$312.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $194.01	Professional		$39.40	$39.40	$194.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $126.80 / $168.17	Facility		$78.83	$126.80	$168.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $120.46 / $167.51	Professional		$78.83	$120.46	$167.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $111.67 / $134.01	Professional		$76.86	$111.67	$134.01
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $39.40 / $130.90	Professional		$37.44	$39.40	$130.90