Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $58.21 / $88.20	Facility		$58.21	$58.21	$88.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $58.21 / $567.13	Professional		$58.21	$58.21	$567.13
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 $127.36 / $140.24 / $144.65	Professional		$127.36	$140.24	$144.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $161.72 / $225.79	Professional		$128.00	$161.72	$225.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $132.43 / $418.95	Facility		$52.92	$132.43	$418.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $52.92 / $254.90	Professional		$52.92	$52.92	$254.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $170.24 / $346.23	Facility		$105.84	$170.24	$346.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $161.72 / $225.79	Professional		$105.84	$161.72	$225.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $149.94 / $179.93	Professional		$103.19	$149.94	$179.93
United Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $52.92 / $171.99	Professional		$50.27	$52.92	$171.99