Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $1,378.63	Facility		$1,287.00	$1,287.00	$1,378.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $1,287.00	Professional		$1,287.00	$1,287.00	$1,287.00
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 $2,815.80 / $3,083.13 / $3,198.00	Professional		$2,815.80	$3,083.13	$3,198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,541.44 / $4,426.80 / $4,992.00	Professional		$3,541.44	$4,426.80	$4,992.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,287.00 / $9,262.50	Facility		$702.00	$1,287.00	$9,262.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $5,635.50	Professional		$1,170.00	$1,170.00	$5,635.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $4,017.00 / $4,992.00	Facility		$2,340.00	$4,017.00	$4,992.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $4,017.00 / $5,363.36	Professional		$2,340.00	$4,017.00	$5,363.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,281.50 / $2,281.50 / $3,978.00	Professional		$2,281.50	$2,281.50	$3,978.00
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $819.00 / $1,170.00	Facility		$702.00	$819.00	$1,170.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.50 / $1,170.00 / $1,267.50	Professional		$1,111.50	$1,170.00	$1,267.50