Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $73.94 / $163.44	Facility		$73.55	$73.94	$163.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $123.43	Professional		$73.94	$73.94	$123.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.18 / $80.20 / $80.20	Facility		$68.18	$80.20	$80.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $90.20 / $90.67	Professional		$85.68	$90.20	$90.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $94.16 / $108.38	Professional		$73.94	$94.16	$108.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $106.65 / $147.10	Facility		$66.59	$106.65	$147.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $77.95 / $110.33	Professional		$70.38	$77.95	$110.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.22 / $105.56 / $139.84	Facility		$64.22	$105.56	$139.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $99.14 / $110.32	Professional		$59.88	$99.14	$110.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $103.30 / $150.84	Professional		$86.50	$103.30	$150.84
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $87.99	Professional		$73.94	$73.94	$87.99