Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $9,549.93 / $15,488.17	Facility		$6,025.60	$9,549.93	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,265.80	Professional		$954.99	$1,862.09	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,606.93 / $12,882.50	Facility		$5,128.61	$6,606.93	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,290.87	Professional		$912.01	$1,548.82	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $2,951.21	Professional		$1,000.00	$2,238.72	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $12,022.64	Facility		$954.99	$1,862.09	$12,022.64
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility	52	$12,589.25	$12,589.25	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $7,585.78	Professional		$1,318.26	$1,995.26	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,235.94	Professional		$2,238.72	$2,238.72	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,412.54 / $2,691.53	Professional		$5.01	$1,412.54	$2,691.53
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 $1,318.26 / $1,819.70 / $2,630.27	Professional		$1,318.26	$1,819.70	$2,630.27