Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $37.65 / $57.04	Facility		$37.65	$37.65	$57.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $37.65 / $366.77	Professional		$37.65	$37.65	$366.77
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 $82.35 / $90.68 / $93.54	Professional		$82.35	$90.68	$93.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $104.58 / $146.02	Professional		$83.00	$104.58	$146.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $85.40 / $270.94	Facility		$34.22	$85.40	$270.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $164.85	Professional		$34.22	$34.22	$164.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $108.59 / $146.02	Facility		$68.45	$108.59	$146.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $104.58 / $146.02	Professional		$68.45	$104.58	$146.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $96.97 / $116.36	Professional		$66.73	$96.97	$116.36
United Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $34.22 / $111.23	Professional		$32.51	$34.22	$111.23