Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,382.00 / $8,477.27 / $19,276.96	Facility		$4,382.00	$8,477.27	$19,276.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.19 / $457.19 / $2,543.63	Professional		$457.19	$457.19	$2,543.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,990.74 / $13,540.02 / $25,418.08	Facility		$9,990.74	$13,540.02	$25,418.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.56 / $756.09 / $1,008.11	Professional		$443.56	$756.09	$1,008.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.36 / $1,148.72 / $1,438.77	Professional		$924.36	$1,148.72	$1,438.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.72 / $868.66 / $10,946.80	Facility		$489.72	$868.66	$10,946.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $606.72 / $1,100.04 / $5,058.97	Professional		$606.72	$1,100.04	$5,058.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $924.36 / $1,229.36 / $6,152.06	Facility		$924.36	$1,229.36	$6,152.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $714.92 / $1,084.41 / $1,438.77	Professional		$714.92	$1,084.41	$1,438.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $673.80 / $1,255.90	Professional		$4.00	$673.80	$1,255.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $8,816.00 / $10,946.80	Facility		$6,178.00	$8,816.00	$10,946.80
United Facility/Professional Professional Modifier Low / Median / High Price $643.50 / $1,071.15 / $1,254.81	Professional		$643.50	$1,071.15	$1,254.81