Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $10,431.19 / $20,928.72	Facility		$4,241.22	$10,431.19	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.54 / $574.54 / $3,281.02	Professional		$574.54	$574.54	$3,281.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,183.05 / $10,762.95 / $20,819.02	Facility		$8,183.05	$10,762.95	$20,819.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.61 / $948.76 / $1,265.03	Professional		$556.61	$948.76	$1,265.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,266.26 / $5,266.26 / $5,266.26	Facility		$5,266.26	$5,266.26	$5,266.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.00 / $1,385.43 / $1,839.65	Professional		$946.00	$1,385.43	$1,839.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.54 / $1,005.46 / $7,934.00	Facility		$574.54	$1,005.46	$7,934.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.60 / $1,249.64 / $1,717.86	Professional		$755.60	$1,249.64	$1,717.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,149.00 / $1,549.13 / $6,670.60	Facility		$1,149.00	$1,549.13	$6,670.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,041.60 / $1,296.46 / $1,839.65	Professional		$1,041.60	$1,296.46	$1,839.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $632.79 / $1,103.33 / $1,264.21	Professional		$632.79	$1,103.33	$1,264.21
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 $755.60 / $1,268.54 / $1,627.44	Professional		$755.60	$1,268.54	$1,627.44