Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $14,454.40	Facility		$4,265.80	$7,585.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $9,332.54	Professional		$1,548.82	$1,698.24	$9,332.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,182.57 / $25,703.96	Facility		$10,000.00	$13,182.57	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,467.37	Professional		$1,548.82	$2,570.40	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,981.07 / $5,128.61	Professional		$1,737.80	$3,981.07	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $8,912.51	Facility		$1,659.59	$2,754.23	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $12,882.50	Professional		$2,137.96	$3,388.44	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $5,370.32	Professional		$3,801.89	$3,981.07	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,511.89 / $4,365.16	Professional		$7.08	$2,511.89	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,495.41 / $8,912.51	Facility		$1,659.59	$5,495.41	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,265.80	Professional		$2,187.76	$3,162.28	$4,265.80