Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,943.28 / $14,454.40	Facility		$2,187.76	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,238.72	Professional		$1,000.00	$1,174.90	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,244.36 / $14,125.38	Facility		$5,495.41	$7,244.36	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $2,290.87	Professional		$1,000.00	$1,698.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,089.30 / $3,548.13	Professional		$478.63	$2,089.30	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $3,715.35	Facility		$1,023.29	$1,621.81	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $8,511.38	Professional		$1,258.93	$2,238.72	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,548.13	Professional		$2,187.76	$2,570.40	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,548.13	Professional		$1,862.09	$2,454.71	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,288.25 / $2,884.03	Professional		$5.01	$1,288.25	$2,884.03
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 $1,174.90 / $1,659.59 / $2,951.21	Professional		$1,174.90	$1,659.59	$2,951.21