Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.32 / $8,477.27 / $20,928.72	Facility		$1,363.32	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.32 / $1,363.32 / $7,986.48	Professional		$1,363.32	$1,363.32	$7,986.48
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 $1,323.09 / $2,255.28 / $3,007.04	Professional		$1,323.09	$2,255.28	$3,007.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,345.92 / $3,327.89 / $4,461.47	Professional		$2,345.92	$3,327.89	$4,461.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,363.32 / $2,385.81 / $4,406.00	Facility		$1,363.32	$2,385.81	$4,406.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,810.71 / $2,994.63 / $4,118.74	Professional		$1,810.71	$2,994.63	$4,118.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,751.38 / $3,426.41 / $4,810.59	Facility		$1,751.38	$3,426.41	$4,810.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,269.78 / $3,225.88 / $4,461.47	Professional		$2,269.78	$3,225.88	$4,461.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.95 / $2,716.42 / $3,031.56	Professional		$1,557.95	$2,716.42	$3,031.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,810.71 / $3,091.36 / $3,899.98	Professional		$1,810.71	$3,091.36	$3,899.98