Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $158.57 / $182.36	Facility		$72.45	$158.57	$182.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $67.64 / $169.60	Professional		$42.45	$67.64	$169.60
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $37.27 / $37.27 / $37.27	Professional	CQ	$37.27	$37.27	$37.27
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 $63.46 / $103.56 / $145.50	Professional		$63.46	$103.56	$145.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $93.37 / $158.18	Professional		$59.46	$93.37	$158.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $104.84 / $153.53	Facility		$54.54	$104.84	$153.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $62.40 / $148.60	Professional		$46.35	$62.40	$148.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $102.75 / $133.41	Facility		$74.20	$102.75	$133.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $99.45 / $158.18	Professional		$69.84	$99.45	$158.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $130.91 / $145.26	Professional		$67.38	$130.91	$145.26
United Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $56.56 / $137.50	Professional		$45.70	$56.56	$137.50