Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $14,454.40	Facility		$3,162.28	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $8,709.64	Professional		$1,513.56	$1,949.84	$8,709.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,022.64 / $23,442.29	Facility		$9,120.11	$12,022.64	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $3,311.31	Professional		$1,445.44	$2,454.71	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $5,011.87	Professional		$1,862.09	$3,715.35	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $13,803.84	Facility		$1,584.89	$2,630.27	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $12,302.69	Professional		$2,238.72	$3,388.44	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $5,248.07	Professional		$3,715.35	$3,801.89	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $1,862.09 / $4,265.80	Professional		$12.02	$1,862.09	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $13,803.84	Facility		$3,235.94	$4,570.88	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $4,466.84	Professional		$2,238.72	$3,090.30	$4,466.84