Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.40 / $2,138.40 / $2,290.65	Facility		$2,138.40	$2,138.40	$2,290.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.40 / $2,138.40 / $2,138.40	Professional		$2,138.40	$2,138.40	$2,138.40
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 $4,678.56 / $5,151.60 / $5,313.60	Professional		$4,678.56	$5,151.60	$5,313.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $5,884.34 / $7,355.42	Professional		$3,888.00	$5,884.34	$7,355.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $4,062.96 / $15,390.00	Facility		$1,944.00	$4,062.96	$15,390.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $1,944.00 / $9,363.60	Professional		$1,944.00	$1,944.00	$9,363.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,888.00 / $6,674.40 / $7,250.89	Facility		$3,888.00	$6,674.40	$7,250.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $7,060.56 / $8,294.40	Professional		$3,888.00	$7,060.56	$8,294.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,790.80 / $3,790.80 / $6,609.60	Professional		$3,790.80	$3,790.80	$6,609.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,846.80 / $1,944.00 / $2,916.00	Professional		$1,846.80	$1,944.00	$2,916.00