Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.80 / $1,339.80 / $1,435.19	Facility		$1,339.80	$1,339.80	$1,435.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.80 / $1,339.80 / $1,339.80	Professional		$1,339.80	$1,339.80	$1,339.80
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 $2,931.32 / $3,227.69 / $3,329.19	Professional		$2,931.32	$3,227.69	$3,329.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $3,687.01 / $4,608.77	Professional		$2,436.00	$3,687.01	$4,608.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $3,057.86 / $9,642.50	Facility		$1,218.00	$3,057.86	$9,642.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $5,866.70	Professional		$1,218.00	$1,218.00	$5,866.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $3,552.50 / $5,238.52	Facility		$2,436.00	$3,552.50	$5,238.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $3,995.04 / $5,238.52	Professional		$2,436.00	$3,995.04	$5,238.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,375.10 / $2,375.10 / $4,141.20	Professional		$2,375.10	$2,375.10	$4,141.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Facility		$2,030.00	$2,030.00	$2,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,157.09 / $1,218.00 / $2,030.00	Professional		$1,157.09	$1,218.00	$2,030.00