Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.78 / $177.78 / $177.78	Facility		$177.78	$177.78	$177.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $177.78 / $214.48	Professional		$154.65	$177.78	$214.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $176.09 / $177.78	Professional		$167.28	$176.09	$177.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $305.39 / $481.04	Professional		$167.84	$305.39	$481.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.78 / $300.45 / $389.27	Facility		$177.78	$300.45	$389.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.57 / $370.76 / $1,182.54	Professional		$286.57	$370.76	$1,182.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.85 / $313.02 / $481.04	Facility		$233.85	$313.02	$481.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.85 / $313.02 / $481.04	Professional		$233.85	$313.02	$481.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.80 / $248.40 / $470.40	Professional		$238.80	$248.40	$470.40
United Facility/Professional Professional Modifier Low / Median / High Price $283.63 / $387.54 / $454.74	Professional		$283.63	$387.54	$454.74