Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,943.28 / $14,454.40	Facility		$2,454.71	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $6,760.83	Professional		$1,148.15	$1,513.56	$6,760.83
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 $1,122.02 / $1,905.46 / $2,570.40	Professional		$1,122.02	$1,905.46	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $3,890.45	Professional		$1,445.44	$2,884.03	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $13,803.84	Facility		$1,288.25	$2,187.76	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $9,549.93	Professional		$1,698.24	$2,630.27	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $4,073.80	Professional		$2,884.03	$2,951.21	$4,073.80
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 $10.00 / $2,344.23 / $3,311.31	Professional		$10.00	$2,344.23	$3,311.31
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 $1,698.24 / $2,398.83 / $3,388.44	Professional		$1,698.24	$2,398.83	$3,388.44