Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $14.75 / $15.99	Facility		$14.75	$14.75	$15.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $18.25 / $27.91	Professional		$14.75	$18.25	$27.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.09 / $404.94 / $404.94	Facility		$362.09	$404.94	$404.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $24.77 / $33.77	Professional		$14.69	$24.77	$33.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $26.48 / $39.65	Professional		$20.27	$26.48	$39.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $24.34 / $34.18	Facility		$14.75	$24.34	$34.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $33.10 / $107.17	Professional		$22.16	$33.10	$107.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $25.49 / $39.94	Facility		$20.91	$25.49	$39.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $27.14 / $40.98	Professional		$21.41	$27.14	$40.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $24.21 / $33.01	Professional		$16.50	$24.21	$33.01
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $32.68 / $40.13	Professional		$20.93	$32.68	$40.13