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 $1,170.90 / $1,270.15 / $2,181.62	Professional		$1,170.90	$1,270.15	$2,181.62
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 $1,129.51 / $1,925.30 / $2,567.07	Professional		$1,129.51	$1,925.30	$2,567.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.96 / $2,906.82 / $4,117.10	Professional		$1,613.96	$2,906.82	$4,117.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,170.90 / $1,990.53 / $3,080.04	Facility		$1,170.90	$1,990.53	$3,080.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,840.95 / $2,757.74 / $9,581.52	Professional		$1,840.95	$2,757.74	$9,581.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,274.00 / $2,906.82 / $4,117.10	Facility		$2,274.00	$2,906.82	$4,117.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,001.25 / $2,906.82 / $3,912.21	Professional		$2,001.25	$2,906.82	$3,912.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,794.70 / $3,590.30	Professional		$15.00	$1,794.70	$3,590.30
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 $1,840.95 / $2,736.21 / $3,436.44	Professional		$1,840.95	$2,736.21	$3,436.44