Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $14,454.40	Facility		$4,265.80	$7,585.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,454.71	Professional		$1,122.02	$1,318.26	$2,454.71
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 $1,096.48 / $1,819.70 / $2,454.71	Professional		$1,096.48	$1,819.70	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $3,981.07	Professional		$1,047.13	$2,290.87	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $6,025.60	Facility		$1,122.02	$1,905.46	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $9,772.37	Professional		$1,479.11	$2,511.89	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $3,981.07	Professional		$2,344.23	$2,818.38	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,981.07	Professional		$2,089.30	$2,691.53	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $1,905.46 / $3,235.94	Professional		$10.96	$1,905.46	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $9,120.11	Facility		$3,630.78	$6,025.60	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,311.31	Professional		$1,412.54	$1,905.46	$3,311.31