Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $12,589.25	Facility		$2,344.23	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $5,011.87	Professional		$851.14	$977.24	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,589.25 / $24,547.09	Facility		$9,772.37	$12,589.25	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,089.30	Professional		$831.76	$1,412.54	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $2,884.03	Professional		$1,000.00	$2,137.96	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,995.26 / $8,912.51	Facility		$912.01	$1,995.26	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $7,762.47	Professional		$1,202.26	$1,949.84	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,884.03	Professional		$2,041.74	$2,187.76	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,621.81 / $2,344.23	Professional		$3.02	$1,621.81	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $9,120.11	Facility		$4,677.35	$6,918.31	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,344.23	Professional		$1,258.93	$1,819.70	$2,344.23