Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $45.71 / $97.72	Professional		$21.88	$45.71	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $467.74 / $616.60	Facility		$436.52	$467.74	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $79.43	Professional		$70.79	$77.62	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $120.23	Facility		$25.12	$40.74	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $380.19 / $380.19	Professional		$112.20	$380.19	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $107.15 / $131.83	Professional		$43.65	$107.15	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $141.25	Professional		$66.07	$102.33	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $91.20	Professional		$52.48	$67.61	$91.20