Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.79 / $171.00 / $228.68	Facility		$92.79	$171.00	$228.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $74.23 / $283.00	Professional		$48.60	$74.23	$283.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $304.82 / $589.62	Facility		$231.75	$304.82	$589.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $114.64 / $161.06	Professional		$70.34	$114.64	$161.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $151.77 / $236.00	Facility		$112.00	$151.77	$236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $156.96 / $202.36	Professional		$104.00	$156.96	$202.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.47 / $137.34 / $304.00	Facility		$54.47	$137.34	$304.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $150.03 / $483.64	Professional		$114.18	$150.03	$483.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $151.77 / $202.36	Facility		$125.00	$151.77	$202.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $154.63 / $202.36	Professional		$106.00	$154.63	$202.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $146.29 / $165.26	Professional		$83.90	$146.29	$165.26
United Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $165.05 / $188.73	Professional		$114.18	$165.05	$188.73