Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.31 / $5,463.36 / $13,841.56	Facility		$2,318.31	$5,463.36	$13,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.03 / $493.03 / $493.03	Professional		$493.03	$493.03	$493.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,121.08 / $6,940.38 / $13,028.86	Facility		$5,121.08	$6,940.38	$13,028.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.60 / $808.98 / $1,078.63	Professional		$474.60	$808.98	$1,078.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.01 / $1,229.06 / $1,459.98	Professional		$989.01	$1,229.06	$1,459.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.03 / $838.15 / $8,816.00	Facility		$493.03	$838.15	$8,816.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $633.16 / $1,100.09 / $3,967.20	Professional		$633.16	$1,100.09	$3,967.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $989.01 / $1,435.18 / $3,000.40	Facility		$989.01	$1,435.18	$3,000.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $989.01 / $1,100.09 / $1,459.98	Professional		$989.01	$1,100.09	$1,459.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,212.50	Professional		$5.00	$5.00	$1,212.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,038.98 / $5,341.00 / $8,632.00	Facility		$4,038.98	$5,341.00	$8,632.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.52 / $1,092.98 / $1,376.40	Professional		$703.52	$1,092.98	$1,376.40