Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $269.15	Professional		$204.17	$245.47	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $5,495.41	Facility		$2,187.76	$2,818.38	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $436.52	Professional		$407.38	$426.58	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $354.81 / $1,479.11	Facility		$204.17	$354.81	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $1,698.24	Professional		$398.11	$1,698.24	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $630.96	Professional		$398.11	$407.38	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42