Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $95.17 / $96.09	Facility		$95.17	$95.17	$96.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $99.02 / $124.85	Professional		$80.94	$99.02	$124.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.61 / $808.24 / $1,266.95	Facility		$624.61	$808.24	$1,266.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $161.31 / $219.52	Professional		$96.59	$161.31	$219.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.97 / $222.68 / $264.43	Professional		$197.97	$222.68	$264.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $158.55 / $245.39	Facility		$95.17	$158.55	$245.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $216.61 / $625.05	Professional		$165.46	$216.61	$625.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.28 / $228.75 / $264.43	Facility		$201.28	$228.75	$264.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $228.75 / $265.42	Professional		$200.27	$228.75	$265.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $189.94 / $219.17	Professional		$112.24	$189.94	$219.17
United Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $216.61 / $252.14	Professional		$165.46	$216.61	$252.14