Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $14,454.40	Facility		$3,162.28	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $8,912.51	Professional		$1,445.44	$1,698.24	$8,912.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $13,182.57 / $25,703.96	Facility		$10,232.93	$13,182.57	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,162.28	Professional		$1,412.54	$2,344.23	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $4,677.35	Professional		$1,659.59	$3,630.78	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $13,803.84	Facility		$1,659.59	$2,754.23	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $12,022.64	Professional		$1,905.46	$2,884.03	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,630.78 / $5,248.07	Professional		$3,235.94	$3,630.78	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $2,398.83 / $4,265.80	Professional		$10.96	$2,398.83	$4,265.80
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 $1,995.26 / $2,818.38 / $3,890.45	Professional		$1,995.26	$2,818.38	$3,890.45