Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $238.46 / $527.09	Facility		$173.64	$238.46	$527.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $291.39	Professional		$238.46	$238.46	$291.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.47 / $269.95 / $269.95	Facility		$229.47	$269.95	$269.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.75 / $256.45 / $269.95	Professional		$186.75	$256.45	$269.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $238.46 / $567.27	Professional		$174.72	$238.46	$567.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $271.47 / $608.09	Facility		$173.64	$271.47	$608.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $173.64 / $1,619.80	Professional		$145.60	$173.64	$1,619.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.72 / $328.84 / $2,368.42	Facility		$174.72	$328.84	$2,368.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.46 / $393.19 / $5,793.72	Professional		$212.46	$393.19	$5,793.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $278.99 / $486.45	Professional		$244.30	$278.99	$486.45
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $357.69	Professional		$238.46	$238.46	$357.69