Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $5,463.36 / $13,841.56	Facility		$1,653.00	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $498.86 / $2,181.00	Professional		$318.80	$498.86	$2,181.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,099.31 / $6,706.99 / $12,973.48	Facility		$5,099.31	$6,706.99	$12,973.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.79 / $636.79 / $1,004.08	Professional		$339.79	$636.79	$1,004.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.32 / $1,087.68 / $1,548.46	Professional		$408.32	$1,087.68	$1,548.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.28 / $778.27 / $4,236.79	Facility		$435.28	$778.27	$4,236.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $1,087.82 / $4,034.64	Professional		$617.41	$1,087.82	$4,034.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $778.01 / $1,170.09 / $2,197.38	Facility		$778.01	$1,170.09	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $673.59 / $981.86 / $1,413.89	Professional		$673.59	$981.86	$1,413.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $636.41 / $1,093.33	Professional		$365.00	$636.41	$1,093.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $1,087.82 / $1,262.11	Professional		$617.41	$1,087.82	$1,262.11