Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.50 / $1,072.50 / $1,625.00	Facility		$1,072.50	$1,072.50	$1,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.50 / $1,072.50 / $10,448.79	Professional		$1,072.50	$1,072.50	$10,448.79
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 $1,300.00 / $2,516.30 / $2,665.00	Professional		$1,300.00	$2,516.30	$2,665.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.59 / $2,951.96 / $4,160.00	Professional		$1,867.59	$2,951.96	$4,160.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $2,439.96 / $7,718.75	Facility		$975.00	$2,439.96	$7,718.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $975.00 / $4,696.25	Professional		$975.00	$975.00	$4,696.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,951.61 / $3,093.56 / $6,378.70	Facility		$1,951.61	$3,093.56	$6,378.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $3,093.56 / $4,241.25	Professional		$1,950.00	$3,093.56	$4,241.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.25 / $2,762.50 / $3,315.00	Professional		$1,901.25	$2,762.50	$3,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $1,787.50	Professional		$682.50	$975.00	$1,787.50