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 $1,159.94 / $1,281.60 / $2,165.21	Professional		$1,159.94	$1,281.60	$2,165.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,877.26 / $21,567.85 / $37,850.17	Facility		$14,877.26	$21,567.85	$37,850.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.20 / $1,904.31 / $2,539.09	Professional		$1,117.20	$1,904.31	$2,539.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.95 / $2,876.24 / $4,096.25	Professional		$1,602.95	$2,876.24	$4,096.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,159.94 / $2,029.90 / $3,341.20	Facility		$1,159.94	$2,029.90	$3,341.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,837.76 / $2,774.36 / $9,490.32	Professional		$1,837.76	$2,774.36	$9,490.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,328.13 / $2,876.24 / $4,096.25	Facility		$2,328.13	$2,876.24	$4,096.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,000.04 / $2,876.24 / $3,899.19	Professional		$2,000.04	$2,876.24	$3,899.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,769.30 / $3,591.10	Professional		$12.00	$1,769.30	$3,591.10
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 $1,837.76 / $2,788.50 / $3,430.48	Professional		$1,837.76	$2,788.50	$3,430.48