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 $1,174.90 / $1,445.44 / $6,918.31	Professional		$1,174.90	$1,445.44	$6,918.31
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 $1,122.02 / $1,905.46 / $2,511.89	Professional		$1,122.02	$1,905.46	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $3,801.89	Professional		$1,318.26	$2,884.03	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,691.53 / $7,943.28	Facility		$1,230.27	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $9,332.54	Professional		$1,659.59	$2,570.40	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $3,890.45	Professional		$2,754.23	$2,951.21	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,862.09 / $3,235.94	Professional		$6.03	$1,862.09	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $8,128.31	Facility		$3,630.78	$5,011.87	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,311.31	Professional		$1,659.59	$2,290.87	$3,311.31