Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.01 / $527.42 / $1,020.23	Facility		$401.01	$527.42	$1,020.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $143.75 / $148.83	Professional		$133.09	$143.75	$148.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $115.96 / $169.86	Facility		$63.59	$115.96	$169.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $154.97 / $515.54	Professional		$121.59	$154.97	$515.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $137.08 / $350.99	Facility		$107.65	$137.08	$350.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $137.08 / $350.99	Professional		$107.65	$137.08	$350.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $110.10 / $110.10	Professional		$110.10	$110.10	$110.10
United Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $154.97 / $194.94	Professional		$108.73	$154.97	$194.94