Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.58 / $159.58 / $159.58	Facility		$159.58	$159.58	$159.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $148.97 / $148.97	Professional		$148.97	$148.97	$148.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.33 / $676.72 / $1,270.36	Facility		$499.33	$676.72	$1,270.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,017.55 / $2,188.34 / $2,303.52	Professional		$2,017.55	$2,188.34	$2,303.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $247.89 / $5,622.32	Facility		$148.97	$247.89	$5,622.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.75 / $316.54 / $6,299.47	Professional		$205.75	$316.54	$6,299.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $316.00 / $5,450.35	Facility		$213.07	$316.00	$5,450.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $271.33 / $5,450.35	Professional		$213.07	$271.33	$5,450.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,984.69 / $2,984.69 / $2,984.69	Professional		$2,984.69	$2,984.69	$2,984.69
United Facility/Professional Professional Modifier Low / Median / High Price $205.75 / $326.55 / $392.03	Professional		$205.75	$326.55	$392.03