Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.71 / $170.71 / $170.71	Facility		$170.71	$170.71	$170.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $170.71 / $170.71	Professional		$170.71	$170.71	$170.71
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 $153.41 / $161.50 / $161.50	Professional		$153.41	$161.50	$161.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $290.07 / $324.35	Facility		$88.05	$290.07	$324.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $1,283.58 / $1,283.58	Professional		$118.21	$1,283.58	$1,283.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $276.32 / $523.98	Facility		$93.10	$276.32	$523.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $152.97 / $418.93	Professional		$93.10	$152.97	$418.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $29.20 / $38.40	Professional		$29.20	$29.20	$38.40