Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,083.97 / $8,477.27 / $19,276.96	Facility		$4,083.97	$8,477.27	$19,276.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.68 / $1,697.68 / $11,197.70	Professional		$1,697.68	$1,697.68	$11,197.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,303.68 / $6,975.78 / $13,493.42	Facility		$5,303.68	$6,975.78	$13,493.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,624.68 / $2,685.55 / $3,692.44	Professional		$1,624.68	$2,685.55	$3,692.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.44 / $1,257.44 / $1,257.44	Facility		$1,257.44	$1,257.44	$1,257.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,274.02 / $4,052.10 / $5,746.69	Professional		$2,274.02	$4,052.10	$5,746.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,697.68 / $2,867.62 / $4,474.83	Facility		$1,697.68	$2,867.62	$4,474.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,222.76 / $3,696.81 / $5,839.85	Professional		$2,222.76	$3,696.81	$5,839.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,351.40 / $3,155.68 / $4,930.07	Facility		$1,351.40	$3,155.68	$4,930.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,645.70 / $3,694.30 / $5,746.69	Professional		$2,645.70	$3,694.30	$5,746.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.90 / $3,070.28 / $3,966.46	Professional		$1,760.90	$3,070.28	$3,966.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,222.76 / $4,081.22 / $5,308.24	Professional		$2,222.76	$4,081.22	$5,308.24