Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $181.89 / $493.61	Facility		$30.76	$181.89	$493.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $30.76 / $299.64	Professional		$30.76	$30.76	$299.64
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 $67.29 / $74.09 / $76.42	Professional		$67.29	$74.09	$76.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $87.22 / $119.30	Professional		$84.86	$87.22	$119.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $130.61 / $221.35	Facility		$27.96	$130.61	$221.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $168.78	Professional		$27.96	$27.96	$168.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $91.81 / $120.04	Facility		$55.92	$91.81	$120.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $91.81 / $121.63	Professional		$55.92	$91.81	$121.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $79.22 / $95.06	Professional		$54.52	$79.22	$95.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $27.96 / $41.94	Professional		$26.56	$27.96	$41.94