Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $35.00	Facility		$23.10	$23.10	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $225.05	Professional		$23.10	$23.10	$225.05
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 $50.53 / $55.64 / $57.39	Professional		$50.53	$55.64	$57.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $64.17 / $89.60	Professional		$51.00	$64.17	$89.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $52.44 / $166.25	Facility		$21.00	$52.44	$166.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $101.15	Professional		$21.00	$21.00	$101.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $66.63 / $89.60	Facility		$42.00	$66.63	$89.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $64.17 / $89.60	Professional		$42.00	$64.17	$89.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $59.50 / $71.40	Professional		$40.95	$59.50	$71.40
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.00 / $68.25	Professional		$19.95	$21.00	$68.25