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 $1,174.90 / $1,348.96 / $6,918.31	Professional		$1,174.90	$1,348.96	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $10,715.19 / $20,892.96	Facility		$8,317.64	$10,715.19	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,570.40	Professional		$1,148.15	$1,905.46	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $3,890.45	Professional		$1,380.38	$2,951.21	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $10,471.29	Facility		$1,258.93	$2,238.72	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $15,135.61	Professional		$1,659.59	$2,691.53	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,981.07	Professional		$2,818.38	$3,019.95	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,290.87 / $3,162.28	Professional		$6.03	$2,290.87	$3,162.28
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 $1,737.80 / $2,511.89 / $3,235.94	Professional		$1,737.80	$2,511.89	$3,235.94