Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,005.00 / $10,563.53 / $20,928.72	Facility		$5,005.00	$10,563.53	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.97 / $1,091.97 / $5,983.12	Professional		$1,091.97	$1,091.97	$5,983.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,086.90 / $12,315.08 / $23,118.55	Facility		$9,086.90	$12,315.08	$23,118.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.02 / $1,778.43 / $2,375.03	Professional		$1,045.02	$1,778.43	$2,375.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,174.23 / $2,701.95 / $3,331.30	Professional		$2,174.23	$2,701.95	$3,331.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,157.09 / $2,074.73 / $8,816.00	Facility		$1,157.09	$2,074.73	$8,816.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,489.98 / $2,636.20 / $8,708.71	Professional		$1,489.98	$2,636.20	$8,708.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,135.63 / $2,701.95 / $5,383.60	Facility		$2,135.63	$2,701.95	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,886.18 / $2,548.73 / $3,331.30	Professional		$1,886.18	$2,548.73	$3,331.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,408.90 / $3,361.10	Professional		$5.00	$1,408.90	$3,361.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $7,441.00 / $8,816.00	Facility		$6,178.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,489.98 / $2,504.44 / $2,979.96	Professional		$1,489.98	$2,504.44	$2,979.96