Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $86.67 / $112.67	Facility		$86.67	$86.67	$112.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $86.67 / $488.74	Professional		$86.67	$86.67	$488.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.33 / $392.13 / $736.13	Facility		$289.33	$392.13	$736.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $141.38 / $191.21	Professional		$84.12	$141.38	$191.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $586.00 / $586.00	Facility		$586.00	$586.00	$586.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $193.41 / $228.86	Professional		$101.20	$193.41	$228.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.16 / $160.34 / $416.29	Facility		$71.16	$160.34	$416.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $176.81 / $741.22	Professional		$125.07	$176.81	$741.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $207.34 / $228.86	Facility		$173.00	$207.34	$228.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $182.63 / $228.86	Professional		$130.29	$182.63	$228.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $171.73 / $195.59	Professional		$98.49	$171.73	$195.59
United Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $187.47 / $217.54	Professional		$135.10	$187.47	$217.54