Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,943.28 / $14,454.40	Facility		$2,691.53	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,884.03	Professional		$1,288.25	$1,479.11	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $20,892.96 / $40,738.03	Facility		$15,848.93	$20,892.96	$40,738.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $2,818.38	Professional		$1,230.27	$2,089.30	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,570.40 / $4,466.84	Professional		$1,230.27	$2,570.40	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $4,168.69	Facility		$1,288.25	$1,995.26	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $10,471.29	Professional		$1,548.82	$2,884.03	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,466.84	Professional		$2,691.53	$3,311.31	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,466.84	Professional		$2,454.71	$3,019.95	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $1,905.46 / $3,630.78	Professional		$15.14	$1,905.46	$3,630.78
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 $1,513.56 / $2,187.76 / $3,801.89	Professional		$1,513.56	$2,187.76	$3,801.89