Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,943.28 / $14,454.40	Facility		$2,630.27	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $7,762.47	Professional		$1,288.25	$1,513.56	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,471.29 / $20,417.38	Facility		$8,128.31	$10,471.29	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,884.03	Professional		$1,258.93	$2,137.96	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $4,265.80	Professional		$1,445.44	$3,235.94	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $11,748.98	Facility		$1,412.54	$2,454.71	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $10,471.29	Professional		$1,737.80	$2,754.23	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $4,365.16	Professional		$3,090.30	$3,235.94	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,949.84 / $3,630.78	Professional		$6.03	$1,949.84	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $13,803.84	Facility		$3,235.94	$4,570.88	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,467.37	Professional		$1,778.28	$2,570.40	$3,467.37