Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,943.28 / $14,454.40	Facility		$2,238.72	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $6,606.93	Professional		$1,122.02	$1,288.25	$6,606.93
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 $1,096.48 / $1,819.70 / $2,511.89	Professional		$1,096.48	$1,819.70	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,818.38 / $3,715.35	Professional		$1,288.25	$2,818.38	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $11,481.54	Facility		$1,202.26	$2,238.72	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $9,772.37	Professional		$1,584.89	$2,511.89	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $3,801.89	Professional		$2,691.53	$2,884.03	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,137.96 / $3,019.95	Professional		$7.08	$2,137.96	$3,019.95
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 $1,659.59 / $2,398.83 / $3,090.30	Professional		$1,659.59	$2,398.83	$3,090.30