Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,321.92 / $8,477.27 / $20,928.72	Facility		$2,321.92	$8,477.27	$20,928.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,321.92 / $2,321.92 / $13,721.20	Professional		$2,321.92	$2,321.92	$13,721.20
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 $2,250.32 / $3,835.79 / $5,114.38	Professional		$2,250.32	$3,835.79	$5,114.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $5,674.19 / $7,686.53	Professional		$3,840.00	$5,674.19	$7,686.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,321.92 / $4,179.46 / $9,815.00	Facility		$2,321.92	$4,179.46	$9,815.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,113.84 / $5,149.81 / $7,068.40	Professional		$3,113.84	$5,149.81	$7,068.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,045.05 / $5,876.83 / $8,490.77	Facility		$3,045.05	$5,876.83	$8,490.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,946.38 / $5,578.79 / $7,686.53	Professional		$3,946.38	$5,578.79	$7,686.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,618.44 / $4,565.47 / $5,092.24	Professional		$2,618.44	$4,565.47	$5,092.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,987.70 / $9,496.00 / $15,622.00	Facility		$5,987.70	$9,496.00	$15,622.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,113.84 / $5,331.76 / $6,706.73	Professional		$3,113.84	$5,331.76	$6,706.73