Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $2,337.65	Facility		$2,337.65	$2,337.65	$2,337.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,031.10 / $15,031.10 / $15,031.10	Professional		$15,031.10	$15,031.10	$15,031.10
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 $3,375.57 / $3,716.86 / $3,833.75	Professional		$3,375.57	$3,716.86	$3,833.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,390.00 / $4,286.31 / $5,984.38	Professional		$3,390.00	$4,286.31	$5,984.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $841.55 / $3,509.75 / $11,103.84	Facility		$841.55	$3,509.75	$11,103.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,402.59 / $1,402.59 / $6,755.81	Professional		$1,402.59	$1,402.59	$6,755.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,805.18 / $4,511.89 / $9,196.51	Facility		$2,805.18	$4,511.89	$9,196.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,805.18 / $4,286.31 / $5,984.38	Professional		$2,805.18	$4,286.31	$5,984.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,735.05 / $3,974.01 / $4,768.81	Professional		$2,735.05	$3,974.01	$4,768.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $2,805.18	Facility		$2,337.65	$2,337.65	$2,805.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,332.46 / $1,402.59 / $4,558.42	Professional		$1,332.46	$1,402.59	$4,558.42