Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $16.96 / $16.96	Facility		$16.96	$16.96	$16.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $19.51 / $21.49	Professional		$16.96	$19.51	$21.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.87 / $299.57 / $299.57	Facility		$267.87	$299.57	$299.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $43.40 / $43.40	Professional		$41.24	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $27.98 / $49.38	Facility		$16.96	$27.98	$49.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $193.44 / $193.44	Professional		$33.39	$193.44	$193.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $32.03 / $51.38	Facility		$27.41	$32.03	$51.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $33.39 / $51.97	Professional		$27.41	$33.39	$51.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $31.80	Professional		$28.20	$28.20	$31.80
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $33.00 / $34.00	Professional		$28.00	$33.00	$34.00