Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $1,749.00 / $1,873.53	Facility		$1,749.00	$1,749.00	$1,873.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.00 / $1,749.00 / $1,749.00	Professional		$1,749.00	$1,749.00	$1,749.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $296.51 / $573.54	Facility		$225.43	$296.51	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,826.59 / $4,189.89 / $4,346.00	Professional		$3,826.59	$4,189.89	$4,346.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,813.09 / $6,016.37 / $6,784.00	Professional		$4,813.09	$6,016.37	$6,784.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $1,749.00 / $12,587.50	Facility		$954.00	$1,749.00	$12,587.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $1,590.00 / $7,658.50	Professional		$1,590.00	$1,590.00	$7,658.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,180.00 / $5,459.00 / $6,784.00	Facility		$3,180.00	$5,459.00	$6,784.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,180.00 / $5,459.00 / $7,288.67	Professional		$3,180.00	$5,459.00	$7,288.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,100.50 / $3,100.50 / $5,406.00	Professional		$3,100.50	$3,100.50	$5,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.50 / $1,590.00 / $2,385.00	Professional		$1,510.50	$1,590.00	$2,385.00