Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $62.97 / $135.81	Facility		$62.97	$62.97	$135.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $105.68	Professional		$61.44	$61.44	$105.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $66.65 / $66.65	Facility		$56.65	$66.65	$66.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $75.34 / $77.23	Professional		$71.56	$75.34	$77.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $94.37 / $101.53	Professional		$61.44	$94.37	$101.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $94.46 / $125.94	Facility		$62.97	$94.46	$125.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $66.75 / $94.46	Professional		$62.92	$66.75	$94.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $94.46 / $138.63	Facility		$75.50	$94.46	$138.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $94.46 / $157.43	Professional		$75.50	$94.46	$157.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $88.70 / $125.33	Professional		$71.45	$88.70	$125.33
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $79.45	Professional		$61.44	$61.44	$79.45