Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.60 / $204.60 / $204.60	Facility		$204.60	$204.60	$204.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.60 / $204.60 / $204.60	Professional		$204.60	$204.60	$204.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,167.96 / $2,938.14 / $5,515.65	Facility		$2,167.96	$2,938.14	$5,515.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.19 / $431.77 / $431.77	Professional		$410.19	$431.77	$431.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.60 / $347.82 / $602.88	Facility		$204.60	$347.82	$602.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.67 / $1,712.50 / $1,712.50	Professional		$401.67	$1,712.50	$1,712.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.22 / $406.11 / $628.10	Facility		$331.22	$406.11	$628.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.31 / $443.00 / $628.60	Professional		$338.31	$443.00	$628.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.70 / $249.70 / $249.70	Professional		$249.70	$249.70	$249.70