Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,560.94 / $8,477.27 / $20,928.72	Facility		$2,560.94	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,560.94 / $2,560.94 / $15,161.60	Professional		$2,560.94	$2,560.94	$15,161.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,766.83 / $15,476.59 / $29,936.73	Facility		$11,766.83	$15,476.59	$29,936.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,481.11 / $4,229.14 / $5,638.88	Professional		$2,481.11	$4,229.14	$5,638.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,275.00 / $6,251.50 / $8,500.40	Professional		$4,275.00	$6,251.50	$8,500.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,560.94 / $4,609.68 / $9,815.00	Facility		$2,560.94	$4,609.68	$9,815.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,440.40 / $5,689.89 / $7,807.69	Professional		$3,440.40	$5,689.89	$7,807.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,356.76 / $6,501.40 / $9,375.09	Facility		$3,356.76	$6,501.40	$9,375.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,350.35 / $6,165.26 / $8,500.40	Professional		$4,350.35	$6,165.26	$8,500.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,875.60 / $5,013.87 / $5,614.27	Professional		$2,875.60	$5,013.87	$5,614.27
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 $3,440.40 / $5,875.14 / $7,410.09	Professional		$3,440.40	$5,875.14	$7,410.09