Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,135.61	Facility		$4,570.88	$7,943.28	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $7,943.28	Professional		$1,318.26	$1,659.59	$7,943.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $11,748.98 / $22,908.68	Facility		$9,120.11	$11,748.98	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $3,090.30	Professional		$1,258.93	$2,137.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,090.30 / $4,073.80	Professional		$1,288.25	$3,090.30	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $9,772.37	Facility		$1,412.54	$2,454.71	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $10,471.29	Professional		$1,778.28	$2,511.89	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $4,466.84	Professional		$2,754.23	$2,884.03	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,698.24 / $3,801.89	Professional		$5.01	$1,698.24	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $9,120.11	Facility		$6,309.57	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,467.37	Professional		$1,778.28	$2,454.71	$3,467.37