Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $309.03	Professional		$234.42	$281.84	$309.03
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 $512.86 / $537.03 / $537.03	Professional		$512.86	$537.03	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $407.38 / $1,737.80	Facility		$234.42	$407.38	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,905.46 / $1,905.46	Professional		$398.11	$1,905.46	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $724.44	Professional		$398.11	$467.74	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $331.13	Professional		$281.84	$281.84	$331.13