Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $38.90	Professional		$18.20	$25.12	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $354.81	Facility		$257.04	$269.15	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $57.54	Professional		$51.29	$56.23	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $28.84 / $45.71	Facility		$18.62	$28.84	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $158.49 / $158.49	Professional		$47.86	$158.49	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $57.54	Professional		$35.48	$46.77	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $57.54	Professional		$37.15	$51.29	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $56.23	Professional		$40.74	$43.65	$56.23