Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,456.54 / $12,589.25	Facility		$1,659.59	$6,456.54	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,995.26	Professional		$691.83	$1,202.26	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $10,232.93 / $19,952.62	Facility		$7,943.28	$10,232.93	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $1,659.59	Professional		$691.83	$1,174.90	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,698.24 / $2,187.76	Professional		$794.33	$1,698.24	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,230.27 / $10,471.29	Facility		$691.83	$1,230.27	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $6,456.54	Professional		$794.33	$1,380.38	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,344.23	Professional		$1,445.44	$1,698.24	$2,344.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,344.23	Professional		$1,659.59	$1,737.80	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,698.24	Professional		$724.44	$1,288.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,511.38 / $10,000.00	Facility		$6,918.31	$8,511.38	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,905.46	Professional		$794.33	$1,318.26	$1,905.46