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 $1,069.89 / $1,069.89 / $6,076.50	Professional		$1,069.89	$1,069.89	$6,076.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,474.97 / $6,064.74 / $11,385.07	Facility		$4,474.97	$6,064.74	$11,385.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.68 / $1,753.44 / $2,337.90	Professional		$1,028.68	$1,753.44	$2,337.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,143.66 / $2,663.96 / $3,436.10	Professional		$2,143.66	$2,663.96	$3,436.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,138.92 / $2,032.79 / $7,772.00	Facility		$1,138.92	$2,032.79	$7,772.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,448.83 / $2,627.11 / $9,976.18	Professional		$1,448.83	$2,627.11	$9,976.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,143.66 / $2,644.10 / $3,625.95	Facility		$2,143.66	$2,644.10	$3,625.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,917.95 / $2,547.29 / $3,436.10	Professional		$1,917.95	$2,547.29	$3,436.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,749.20 / $2,953.00	Professional		$3.00	$1,749.20	$2,953.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,536.64 / $2,557.85 / $3,127.36	Professional		$1,536.64	$2,557.85	$3,127.36