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 $1,411.63 / $1,471.86 / $2,628.40	Professional		$1,411.63	$1,471.86	$2,628.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,489.78 / $7,958.64 / $13,966.90	Facility		$5,489.78	$7,958.64	$13,966.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,361.24 / $2,320.30 / $3,093.73	Professional		$1,361.24	$2,320.30	$3,093.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.65 / $3,471.41 / $4,982.64	Professional		$1,947.65	$3,471.41	$4,982.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,411.63 / $2,399.77 / $3,461.97	Facility		$1,411.63	$2,399.77	$3,461.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,201.39 / $3,297.67 / $12,046.47	Professional		$2,201.39	$3,297.67	$12,046.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,491.00 / $3,513.08 / $4,823.42	Facility		$2,491.00	$3,513.08	$4,823.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,364.76 / $3,513.08 / $4,653.87	Professional		$2,364.76	$3,513.08	$4,653.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,358.50 / $4,099.20	Professional		$7.00	$2,358.50	$4,099.20
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 $2,198.73 / $3,258.05 / $4,109.25	Professional		$2,198.73	$3,258.05	$4,109.25