Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $14,454.40	Facility		$4,265.80	$7,585.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $3,890.45	Professional		$630.96	$724.44	$3,890.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,606.93 / $12,882.50	Facility		$5,128.61	$6,606.93	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,548.82	Professional		$616.60	$1,047.13	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,548.82 / $2,041.74	Professional		$707.95	$1,548.82	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $7,943.28	Facility		$691.83	$1,348.96	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $5,128.61	Professional		$870.96	$1,380.38	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $2,187.76	Professional		$1,513.56	$1,548.82	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,000.00 / $1,819.70	Professional		$5.01	$1,000.00	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $8,128.31	Facility		$3,630.78	$5,011.87	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,778.28	Professional		$891.25	$1,288.25	$1,778.28