Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $89.67 / $89.67	Facility		$89.67	$89.67	$89.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $89.67 / $89.67	Professional		$89.67	$89.67	$89.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,937.84 / $8,047.30 / $15,106.84	Facility		$5,937.84	$8,047.30	$15,106.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.80 / $214.53 / $214.53	Professional		$203.80	$214.53	$214.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $152.44 / $245.48	Facility		$89.67	$152.44	$245.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $738.66 / $738.66	Professional		$160.99	$738.66	$738.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.34 / $216.14 / $1,472.81	Facility		$145.34	$216.14	$1,472.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $179.49 / $275.61	Professional		$135.80	$179.49	$275.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $125.10 / $125.70	Professional		$125.10	$125.10	$125.70