Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,598.19 / $2,598.19 / $2,598.19	Facility		$2,598.19	$2,598.19	$2,598.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.01 / $1,538.88 / $2,976.70	Facility		$1,170.01	$1,538.88	$2,976.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,306.69 / $5,843.25 / $6,027.00	Professional		$5,306.69	$5,843.25	$6,027.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.00 / $6,674.88 / $8,343.60	Professional		$4,410.00	$6,674.88	$8,343.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,205.00 / $4,608.45 / $17,456.25	Facility		$2,205.00	$4,608.45	$17,456.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $2,205.00 / $10,620.75	Professional		$2,205.00	$2,205.00	$10,620.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,410.00 / $6,720.66 / $8,224.37	Facility		$4,410.00	$6,720.66	$8,224.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,410.00 / $8,008.49 / $9,408.00	Professional		$4,410.00	$8,008.49	$9,408.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,299.75 / $4,299.75 / $7,497.00	Professional		$4,299.75	$4,299.75	$7,497.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,205.00 / $4,042.50 / $14,700.00	Facility		$2,205.00	$4,042.50	$14,700.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,094.75 / $2,205.00 / $7,166.25	Professional		$2,094.75	$2,205.00	$7,166.25