Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,218.22 / $7,943.37 / $21,899.37	Facility		$4,218.22	$7,943.37	$21,899.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.79 / $1,784.72 / $1,995.99	Professional		$831.79	$1,784.72	$1,995.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,629.98 / $1,629.98 / $1,629.98	Professional		$1,629.98	$1,629.98	$1,629.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,193.47 / $8,393.75 / $15,757.21	Facility		$6,193.47	$8,393.75	$15,757.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.01 / $1,356.11 / $1,809.14	Professional		$796.01	$1,356.11	$1,809.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.93 / $2,060.34 / $2,626.02	Professional		$1,657.93	$2,060.34	$2,626.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,060.53 / $1,870.85 / $8,816.00	Facility		$1,060.53	$1,870.85	$8,816.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,113.55 / $2,007.77 / $7,712.32	Professional		$1,113.55	$2,007.77	$7,712.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,542.86 / $2,060.34 / $5,383.60	Facility		$1,542.86	$2,060.34	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,340.16 / $1,937.39 / $2,626.02	Professional		$1,340.16	$1,937.39	$2,626.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,196.00 / $2,349.69	Professional		$5.00	$1,196.00	$2,349.69
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $7,441.00 / $8,816.00	Facility		$6,178.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.79 / $1,922.23 / $2,415.92	Professional		$1,154.79	$1,922.23	$2,415.92