Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.40 / $1,177.40 / $1,177.40	Facility		$1,177.40	$1,177.40	$1,177.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.40 / $1,177.40 / $6,914.13	Professional		$1,177.40	$1,177.40	$6,914.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,548.13 / $8,874.40 / $16,659.50	Facility		$6,548.13	$8,874.40	$16,659.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.02 / $1,948.31 / $2,597.77	Professional		$1,143.02	$1,948.31	$2,597.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,381.94 / $2,960.08 / $3,892.89	Professional		$2,381.94	$2,960.08	$3,892.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,177.40 / $2,060.44 / $9,496.00	Facility		$1,177.40	$2,060.44	$9,496.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $640.19 / $640.19 / $640.19	Facility	AS	$640.19	$640.19	$640.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,571.28 / $2,964.89 / $9,811.12	Professional		$1,571.28	$2,964.89	$9,811.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,589.42 / $2,976.38 / $3,892.89	Facility		$1,589.42	$2,976.38	$3,892.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,989.88 / $2,976.38 / $3,892.89	Professional		$1,989.88	$2,976.38	$3,892.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,425.50 / $3,460.60	Professional		$7.00	$2,425.50	$3,460.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,777.00 / $8,220.00 / $9,696.00	Facility		$6,777.00	$8,220.00	$9,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,571.28 / $2,816.71 / $3,041.22	Professional		$1,571.28	$2,816.71	$3,041.22