Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $257.04	Professional		$102.33	$131.83	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $7,762.47 / $15,135.61	Facility		$5,888.44	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $446.68	Professional		$239.88	$257.04	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $173.78 / $5,011.87	Facility		$102.33	$173.78	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $851.14 / $851.14	Professional		$208.93	$851.14	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $446.68	Professional		$204.17	$295.12	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $275.42	Professional		$147.91	$147.91	$275.42