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 $1,087.81 / $1,087.81 / $6,377.39	Professional		$1,087.81	$1,087.81	$6,377.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,176.85 / $13,792.24 / $25,891.56	Facility		$10,176.85	$13,792.24	$25,891.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.04 / $1,800.05 / $2,400.07	Professional		$1,056.04	$1,800.05	$2,400.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,200.67 / $2,734.82 / $3,577.91	Professional		$2,200.67	$2,734.82	$3,577.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,252.45 / $2,066.84 / $9,480.17	Facility		$1,252.45	$2,066.84	$9,480.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.81 / $2,728.13 / $13,288.09	Professional		$1,445.81	$2,728.13	$13,288.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,094.00 / $2,735.54 / $3,786.90	Facility		$2,094.00	$2,735.54	$3,786.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,828.95 / $2,734.82 / $3,577.91	Professional		$1,828.95	$2,734.82	$3,577.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,013.00 / $3,205.20	Professional		$11.00	$2,013.00	$3,205.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $7,441.00 / $8,816.00	Facility		$6,178.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,557.02 / $2,591.78 / $3,220.21	Professional		$1,557.02	$2,591.78	$3,220.21