Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $97.95 / $473.86	Professional		$83.86	$97.95	$473.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.36 / $136.36 / $136.36	Facility		$136.36	$136.36	$136.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $205.13 / $240.66	Professional		$137.59	$205.13	$240.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $297.32 / $354.53	Professional		$144.86	$297.32	$354.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $328.70 / $463.42	Facility		$97.95	$328.70	$463.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $198.98 / $1,019.28	Professional		$148.41	$198.98	$1,019.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.54 / $297.32 / $634.80	Facility		$184.54	$297.32	$634.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.41 / $292.13 / $369.56	Professional		$225.41	$292.13	$369.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $209.32 / $294.74	Professional		$144.06	$209.32	$294.74
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $169.34 / $347.61	Professional		$101.60	$169.34	$347.61