Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.42 / $5,463.36 / $13,841.56	Facility		$1,725.42	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $1,556.10 / $1,725.42	Professional		$161.76	$1,556.10	$1,725.42
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 $169.25 / $384.66 / $3,374.73	Professional		$169.25	$384.66	$3,374.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $3,324.51 / $5,732.60	Professional		$383.32	$3,324.51	$5,732.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.24 / $1,788.89 / $3,538.17	Facility		$206.24	$1,788.89	$3,538.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,399.29 / $4,359.59 / $6,644.22	Professional		$2,399.29	$4,359.59	$6,644.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $382.10 / $3,324.51 / $5,732.60	Facility		$382.10	$3,324.51	$5,732.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $408.09 / $3,324.51 / $5,284.86	Professional		$408.09	$3,324.51	$5,284.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,295.80 / $5,295.80 / $5,295.80	Professional		$5,295.80	$5,295.80	$5,295.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,665.88 / $4,141.70 / $4,557.14	Professional		$2,665.88	$4,141.70	$4,557.14