Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $120.00	Facility		$79.20	$79.20	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $79.20 / $771.60	Professional		$79.20	$79.20	$771.60
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 $173.28 / $190.80 / $196.80	Professional		$173.28	$190.80	$196.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $220.04 / $307.20	Professional		$174.00	$220.04	$307.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $180.00 / $811.07	Facility		$72.00	$180.00	$811.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $346.80	Professional		$72.00	$72.00	$346.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $231.62 / $471.05	Facility		$144.00	$231.62	$471.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $220.04 / $307.20	Professional		$144.00	$220.04	$307.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $204.00 / $244.80	Professional		$140.40	$204.00	$244.80
United Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $72.00 / $234.00	Professional		$68.40	$72.00	$234.00