Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $26.92	Professional		$15.85	$19.95	$26.92
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 $38.90 / $42.66 / $43.65	Professional		$38.90	$42.66	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $24.55 / $37.15	Facility		$16.98	$24.55	$37.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $194.98 / $194.98	Professional		$36.31	$194.98	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $51.29	Professional		$27.54	$33.11	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $51.29	Professional		$25.70	$36.31	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $33.88	Professional		$28.18	$33.11	$33.88