Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $14,454.40	Facility		$3,548.13	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $10,232.93	Professional		$1,659.59	$1,949.84	$10,232.93
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 $1,621.81 / $2,691.53 / $3,715.35	Professional		$1,621.81	$2,691.53	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,168.69 / $5,495.41	Professional		$1,905.46	$4,168.69	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $13,803.84	Facility		$1,905.46	$3,162.28	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $13,803.84	Professional		$2,238.72	$3,311.31	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $6,025.60	Professional		$3,801.89	$4,265.80	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,019.95 / $4,897.79	Professional		$10.96	$3,019.95	$4,897.79
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 $2,398.83 / $3,311.31 / $4,466.84	Professional		$2,398.83	$3,311.31	$4,466.84