Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Facility		$76.00	$76.00	$76.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $76.00 / $94.24	Professional		$12.90	$76.00	$94.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.62 / $140.49 / $140.49	Facility		$125.62	$140.49	$140.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $12.60 / $12.74	Professional		$11.98	$12.60	$12.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $23.89 / $35.13	Professional		$17.02	$23.89	$35.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $114.00 / $144.40	Facility		$22.18	$114.00	$144.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $30.00 / $189.47	Professional		$23.25	$30.00	$189.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $22.86 / $35.13	Facility		$17.02	$22.86	$35.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $22.97 / $35.13	Professional		$17.02	$22.97	$35.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $157.50	Professional		$91.20	$91.20	$157.50
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $32.58 / $189.47	Professional		$24.00	$32.58	$189.47