Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.60 / $765.60 / $1,197.94	Facility		$765.60	$765.60	$1,197.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.60 / $765.60 / $765.60	Professional		$765.60	$765.60	$765.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.01 / $1,538.88 / $2,976.70	Facility		$1,170.01	$1,538.88	$2,976.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,729.82 / $1,894.05 / $1,964.61	Professional		$1,729.82	$1,894.05	$1,964.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,682.00 / $2,389.60 / $2,969.60	Professional		$1,682.00	$2,389.60	$2,969.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $718.76 / $1,747.42 / $5,690.22	Facility		$718.76	$1,747.42	$5,690.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $3,352.40	Professional		$696.00	$696.00	$3,352.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,437.53 / $1,677.12 / $6,960.00	Facility		$1,437.53	$1,677.12	$6,960.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,437.53 / $1,946.54 / $2,969.60	Professional		$1,437.53	$1,946.54	$2,969.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.59 / $2,036.50 / $2,443.80	Professional		$1,401.59	$2,036.50	$2,443.80
United Facility/Professional Professional Modifier Low / Median / High Price $661.20 / $696.00 / $1,044.00	Professional		$661.20	$696.00	$1,044.00