Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.65 / $158.57 / $198.99	Facility		$119.65	$158.57	$198.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $112.10 / $250.40	Professional		$63.74	$112.10	$250.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.33 / $293.74 / $568.17	Facility		$223.33	$293.74	$568.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $149.94 / $210.66	Professional		$92.32	$149.94	$210.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $113.10	Facility		$112.00	$112.00	$113.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $137.80 / $229.43	Professional		$85.67	$137.80	$229.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $160.32 / $225.88	Facility		$79.23	$160.32	$225.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $125.45 / $219.70	Professional		$74.27	$125.45	$219.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $141.91 / $193.15	Facility		$113.10	$141.91	$193.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $146.75 / $229.43	Professional		$103.34	$146.75	$229.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $164.60	Facility		$164.60	$164.60	$164.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $190.17 / $211.75	Professional		$97.88	$190.17	$211.75
United Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $82.52 / $190.58	Professional		$66.68	$82.52	$190.58