Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $43.65	Professional		$33.11	$40.74	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $257.04 / $501.19	Facility		$199.53	$257.04	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $102.33	Professional		$97.72	$102.33	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $57.54 / $245.47	Facility		$33.88	$57.54	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $302.00 / $302.00	Professional		$83.18	$302.00	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $125.89	Professional		$67.61	$83.18	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28