Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $55.85 / $59.87	Facility		$55.85	$55.85	$59.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $59.87 / $67.23	Professional		$53.66	$59.87	$67.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.77 / $517.53 / $517.53	Facility		$462.77	$517.53	$517.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $55.85 / $59.28	Professional		$52.54	$55.85	$59.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $100.23 / $149.52	Professional		$73.54	$100.23	$149.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $94.39 / $119.74	Facility		$55.85	$94.39	$119.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $124.48 / $403.56	Professional		$76.23	$124.48	$403.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $102.74 / $157.86	Facility		$78.73	$102.74	$157.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $102.74 / $157.86	Professional		$79.48	$102.74	$157.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $94.78 / $120.51	Professional		$56.85	$94.78	$120.51
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Facility		$0.07	$0.07	$0.07
United Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $126.18 / $163.44	Professional		$76.23	$126.18	$163.44