Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $56.77 / $182.36	Facility		$17.62	$56.77	$182.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.10 / $42.67	Professional		$10.16	$14.10	$42.67
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $6.24 / $6.24 / $76.51	Professional	CQ	$6.24	$6.24	$76.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $148.72 / $287.66	Facility		$113.07	$148.72	$287.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $21.41 / $30.07	Professional		$13.23	$21.41	$30.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $89.00 / $89.00	Facility		$25.00	$89.00	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $24.28 / $33.22	Professional		$12.12	$24.28	$33.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $24.68 / $100.00	Facility		$11.99	$24.68	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.37 / $52.51	Professional		$11.75	$14.37	$52.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $24.89 / $29.72	Facility		$18.21	$24.89	$29.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $24.98 / $39.07	Professional		$19.16	$24.98	$39.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $27.58 / $31.57	Professional		$14.20	$27.58	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $14.37 / $34.93	Professional		$11.61	$14.37	$34.93