Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,183.63 / $8,477.27 / $20,928.72	Facility		$1,183.63	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.63 / $1,183.63 / $6,928.38	Professional		$1,183.63	$1,183.63	$6,928.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,619.76 / $8,706.79 / $16,841.75	Facility		$6,619.76	$8,706.79	$16,841.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.33 / $1,959.09 / $2,612.13	Professional		$1,149.33	$1,959.09	$2,612.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.00 / $2,898.60 / $3,885.93	Professional		$1,957.00	$2,898.60	$3,885.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,183.63 / $2,130.53 / $9,815.00	Facility		$1,183.63	$2,130.53	$9,815.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,570.18 / $2,596.83 / $3,573.67	Professional		$1,570.18	$2,596.83	$3,573.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,460.98 / $2,975.19 / $4,291.27	Facility		$1,460.98	$2,975.19	$4,291.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,893.42 / $2,586.96 / $3,885.93	Professional		$1,893.42	$2,586.96	$3,885.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.98 / $2,360.79 / $2,647.76	Professional		$1,353.98	$2,360.79	$2,647.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,148.00 / $9,696.00 / $15,622.00	Facility		$8,148.00	$9,696.00	$15,622.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,570.18 / $2,604.77 / $3,381.92	Professional		$1,570.18	$2,604.77	$3,381.92