Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $177.83 / $234.42	Facility		$123.03	$177.83	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $288.40	Professional		$63.10	$104.71	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $562.34	Facility		$223.87	$281.84	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $204.17	Professional		$89.13	$151.36	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $213.80	Professional		$85.11	$112.20	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $165.96 / $229.09	Facility		$85.11	$165.96	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $223.87	Professional		$74.13	$158.49	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $213.80	Professional		$109.65	$141.25	$213.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $229.09	Professional		$102.33	$109.65	$229.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Facility		$181.97	$181.97	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $87.10	Facility		$77.62	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $204.17	Professional		$66.07	$81.28	$204.17