Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $207.83 / $207.83	Facility		$207.83	$207.83	$207.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $207.83 / $207.83	Professional		$207.83	$207.83	$207.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.09 / $661.49 / $1,241.78	Facility		$488.09	$661.49	$1,241.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.75 / $511.32 / $511.32	Professional		$485.75	$511.32	$511.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $353.31 / $626.24	Facility		$207.83	$353.31	$626.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.67 / $1,733.46 / $1,733.46	Professional		$401.67	$1,733.46	$1,733.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $336.45 / $412.91 / $638.00	Facility		$336.45	$412.91	$638.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.76 / $460.64 / $638.87	Professional		$338.76	$460.64	$638.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.30 / $453.30 / $453.30	Professional		$453.30	$453.30	$453.30