Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $10,431.19 / $20,928.72	Facility		$4,241.22	$10,431.19	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.45 / $1,074.45 / $6,292.58	Professional		$1,074.45	$1,074.45	$6,292.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,195.75 / $12,462.61 / $23,395.49	Facility		$9,195.75	$12,462.61	$23,395.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.34 / $1,766.53 / $2,355.36	Professional		$1,036.34	$1,766.53	$2,355.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,159.66 / $2,683.85 / $3,589.42	Professional		$2,159.66	$2,683.85	$3,589.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,179.45 / $1,945.87 / $7,856.00	Facility		$1,179.45	$1,945.87	$7,856.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,578.72 / $2,718.36 / $8,792.95	Professional		$1,578.72	$2,718.36	$8,792.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $2,683.85 / $3,779.24	Facility		$2,134.00	$2,683.85	$3,779.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,953.00 / $2,668.10 / $3,589.42	Professional		$1,953.00	$2,668.10	$3,589.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,008.50 / $3,039.50	Professional		$12.00	$2,008.50	$3,039.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,556.17 / $2,198.94 / $2,793.21	Professional		$1,556.17	$2,198.94	$2,793.21