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 $1,058.36 / $1,078.94 / $2,594.51	Professional		$1,058.36	$1,078.94	$2,594.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,102.62 / $2,102.62 / $2,102.62	Professional		$2,102.62	$2,102.62	$2,102.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,718.25 / $13,170.73 / $24,724.83	Facility		$9,718.25	$13,170.73	$24,724.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.65 / $1,734.61 / $2,312.82	Professional		$1,017.65	$1,734.61	$2,312.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.67 / $2,635.39 / $3,443.34	Professional		$2,120.67	$2,635.39	$3,443.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,126.96 / $2,010.90 / $8,632.00	Facility		$1,126.96	$2,010.90	$8,632.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,446.26 / $2,632.66 / $8,553.12	Professional		$1,446.26	$2,632.66	$8,553.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $2,632.66 / $3,587.34	Facility		$1,989.00	$2,632.66	$3,587.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,759.81 / $2,524.73 / $3,443.34	Professional		$1,759.81	$2,524.73	$3,443.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,589.20 / $2,911.60	Professional		$6.00	$1,589.20	$2,911.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,441.00 / $8,816.00	Facility		$5,341.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,533.91 / $2,553.30 / $3,150.82	Professional		$1,533.91	$2,553.30	$3,150.82