Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Facility		$13.17	$13.17	$13.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $13.17 / $16.35	Professional		$12.68	$13.17	$16.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.87 / $299.57 / $299.57	Facility		$267.87	$299.57	$299.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $36.89 / $36.89	Professional		$35.04	$36.89	$36.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $21.73 / $29.07	Facility		$13.17	$21.73	$29.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $100.58 / $100.58	Professional		$34.95	$100.58	$100.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $24.75 / $58.18	Facility		$21.26	$24.75	$58.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $24.75 / $58.18	Professional		$21.26	$24.75	$58.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $21.80 / $21.80	Professional		$21.80	$21.80	$21.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $36.00 / $43.00	Professional		$33.00	$36.00	$43.00