Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $14,454.40	Facility		$1,737.80	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $5,011.87	Professional		$870.96	$1,023.29	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,882.50 / $25,118.86	Facility		$9,772.37	$12,882.50	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $1,905.46	Professional		$831.76	$1,412.54	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $2,884.03	Professional		$1,000.00	$2,187.76	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,659.59 / $8,709.64	Facility		$933.25	$1,659.59	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $7,079.46	Professional		$1,230.27	$1,949.84	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,951.21	Professional		$2,089.30	$2,238.72	$2,951.21
Midlands 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
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,659.59 / $2,398.83	Professional		$7.08	$1,659.59	$2,398.83
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 $1,288.25 / $1,862.09 / $2,398.83	Professional		$1,288.25	$1,862.09	$2,398.83