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 $1,114.25 / $1,114.25 / $6,414.34	Professional		$1,114.25	$1,114.25	$6,414.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,207.48 / $2,207.48 / $2,207.48	Professional		$2,207.48	$2,207.48	$2,207.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.60 / $13,313.50 / $24,992.84	Facility		$9,823.60	$13,313.50	$24,992.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.88 / $1,869.68 / $2,492.90	Professional		$1,096.88	$1,869.68	$2,492.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,285.78 / $2,840.58 / $3,718.21	Professional		$2,285.78	$2,840.58	$3,718.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,254.59 / $1,949.94 / $7,856.00	Facility		$1,254.59	$1,949.94	$7,856.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,556.66 / $2,819.05 / $9,303.68	Professional		$1,556.66	$2,819.05	$9,303.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,022.00 / $2,831.13 / $3,842.05	Facility		$2,022.00	$2,831.13	$3,842.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $2,831.13 / $3,718.21	Professional		$1,846.00	$2,831.13	$3,718.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,907.30 / $3,125.50	Professional		$7.00	$1,907.30	$3,125.50
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 $1,614.31 / $2,687.14 / $3,363.70	Professional		$1,614.31	$2,687.14	$3,363.70