Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $14,454.40	Facility		$2,511.89	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,570.40	Professional		$1,174.90	$1,348.96	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $14,791.08 / $28,840.32	Facility		$11,220.18	$14,791.08	$28,840.32
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 $1,288.25 / $2,344.23 / $4,073.80	Professional		$1,288.25	$2,344.23	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $3,801.89	Facility		$1,174.90	$1,905.46	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $9,549.93	Professional		$1,548.82	$2,630.27	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,073.80	Professional		$2,454.71	$3,019.95	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,073.80	Professional		$2,238.72	$2,754.23	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $1,949.84 / $3,311.31	Professional		$15.14	$1,949.84	$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 $1,445.44 / $1,995.26 / $3,467.37	Professional		$1,445.44	$1,995.26	$3,467.37