Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $33.89 / $33.89	Facility		$33.89	$33.89	$33.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $33.89 / $33.89	Professional		$33.89	$33.89	$33.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $267.45 / $502.07	Facility		$197.34	$267.45	$502.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $102.93 / $102.93	Professional		$97.78	$102.93	$102.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $57.61 / $125.89	Facility		$33.89	$57.61	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $300.23 / $300.23	Professional		$82.72	$300.23	$300.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $81.34 / $127.09	Facility		$54.90	$81.34	$127.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $83.12 / $127.09	Professional		$62.56	$83.12	$127.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50