Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.30 / $542.51 / $1,018.44	Facility		$400.30	$542.51	$1,018.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $253.80 / $253.80	Professional		$241.11	$253.80	$253.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $214.20 / $302.08	Facility		$126.00	$214.20	$302.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $1,009.33 / $1,009.33	Professional		$197.86	$1,009.33	$1,009.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $250.37 / $386.41	Facility		$197.86	$250.37	$386.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $237.91 / $386.41	Professional		$167.38	$237.91	$386.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00