Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $14,454.40	Facility		$2,884.03	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $8,912.51	Professional		$1,479.11	$1,621.81	$8,912.51
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 $1,445.44 / $2,454.71 / $3,311.31	Professional		$1,445.44	$2,454.71	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $5,011.87	Professional		$1,862.09	$3,715.35	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $13,803.84	Facility		$1,621.81	$2,884.03	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $4,786.30	Professional		$2,137.96	$3,162.28	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $5,128.61	Professional		$3,630.78	$3,981.07	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $2,187.76 / $4,168.69	Professional		$7.94	$2,187.76	$4,168.69
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 $2,187.76 / $3,162.28 / $4,265.80	Professional		$2,187.76	$3,162.28	$4,265.80