Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $113.01 / $113.01	Facility		$113.01	$113.01	$113.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $113.01 / $113.01	Professional		$113.01	$113.01	$113.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.30 / $542.51 / $1,018.44	Facility		$400.30	$542.51	$1,018.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.56 / $422.69 / $422.69	Professional		$401.56	$422.69	$422.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $192.12 / $659.59	Facility		$113.01	$192.12	$659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $1,307.34 / $1,307.34	Professional		$323.31	$1,307.34	$1,307.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.80 / $275.30 / $496.83	Facility		$182.80	$275.30	$496.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $323.31 / $496.83	Professional		$217.86	$323.31	$496.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $232.10 / $232.10	Professional		$232.10	$232.10	$232.10