Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,135.61	Facility		$4,570.88	$7,943.28	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $6,456.54	Professional		$1,096.48	$1,412.54	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,589.25 / $24,547.09	Facility		$9,772.37	$12,589.25	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $2,691.53	Professional		$1,071.52	$1,819.70	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $3,630.78	Professional		$1,230.27	$2,754.23	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,570.40 / $8,912.51	Facility		$1,174.90	$2,570.40	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $8,912.51	Professional		$1,513.56	$2,511.89	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,801.89	Professional		$2,630.27	$2,754.23	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,995.26 / $3,090.30	Professional		$6.03	$1,995.26	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,918.31 / $8,912.51	Facility		$6,165.95	$6,918.31	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,019.95	Professional		$1,548.82	$2,290.87	$3,019.95