Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $14,454.40	Facility		$2,884.03	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $8,912.51	Professional		$1,513.56	$1,698.24	$8,912.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $10,471.29 / $20,417.38	Facility		$7,943.28	$10,471.29	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $3,311.31	Professional		$1,445.44	$2,454.71	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $4,897.79	Professional		$1,698.24	$3,715.35	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $13,489.63	Facility		$1,621.81	$2,884.03	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,311.31 / $12,022.64	Professional		$2,089.30	$3,311.31	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $5,011.87	Professional		$3,548.13	$3,801.89	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,398.83 / $4,168.69	Professional		$6.03	$2,398.83	$4,168.69
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 $2,137.96 / $3,162.28 / $4,265.80	Professional		$2,137.96	$3,162.28	$4,265.80