Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $113.79 / $308.79	Facility		$26.86	$113.79	$308.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $261.70	Professional		$26.86	$26.86	$261.70
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 $58.77 / $64.70 / $66.75	Professional		$58.77	$64.70	$66.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $83.84 / $104.19	Professional		$73.77	$83.84	$104.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $81.69 / $193.33	Facility		$24.42	$81.69	$193.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $40.70 / $386.73	Professional		$36.53	$40.70	$386.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $74.62 / $104.19	Facility		$45.91	$74.62	$104.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $73.26 / $103.79	Professional		$48.89	$73.26	$103.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $69.19 / $83.03	Professional		$47.62	$69.19	$83.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $40.70 / $105.57	Professional		$36.53	$40.70	$105.57