Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,943.28 / $14,454.40	Facility		$2,344.23	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,511.89	Professional		$1,148.15	$1,318.26	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,762.47 / $15,135.61	Facility		$6,025.60	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $2,511.89	Professional		$1,122.02	$1,905.46	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,290.87 / $4,073.80	Professional		$676.08	$2,290.87	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $3,715.35	Facility		$1,148.15	$1,862.09	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $9,332.54	Professional		$1,445.44	$2,570.40	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $4,073.80	Professional		$2,398.83	$2,951.21	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,073.80	Professional		$2,187.76	$2,754.23	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,905.46 / $3,311.31	Professional		$7.08	$1,905.46	$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 / $1,949.84 / $3,388.44	Professional		$1,445.44	$1,949.84	$3,388.44