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 $2,730.04 / $2,848.73 / $5,092.64	Professional		$2,730.04	$2,848.73	$5,092.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,219.04 / $16,264.47 / $28,543.08	Facility		$11,219.04	$16,264.47	$28,543.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.26 / $4,483.39 / $5,977.86	Professional		$2,630.26	$4,483.39	$5,977.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,772.41 / $6,588.85 / $9,666.03	Professional		$3,772.41	$6,588.85	$9,666.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,730.04 / $4,525.04 / $6,481.40	Facility		$2,730.04	$4,525.04	$6,481.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,041.06 / $6,154.35 / $22,337.92	Professional		$4,041.06	$6,154.35	$22,337.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,017.00 / $6,800.54 / $9,666.03	Facility		$5,017.00	$6,800.54	$9,666.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,592.00 / $6,488.29 / $8,486.25	Professional		$4,592.00	$6,488.29	$8,486.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,465.39 / $7,777.10	Professional		$15.00	$4,465.39	$7,777.10
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 $4,041.06 / $6,279.81 / $7,543.31	Professional		$4,041.06	$6,279.81	$7,543.31