Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,475.00 / $2,475.00 / $3,750.00	Facility		$2,475.00	$2,475.00	$3,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.00 / $2,475.00 / $24,112.50	Professional		$2,475.00	$2,475.00	$24,112.50
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 $5,415.00 / $5,962.50 / $6,150.00	Professional		$5,415.00	$5,962.50	$6,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,438.00 / $6,876.00 / $9,600.00	Professional		$5,438.00	$6,876.00	$9,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $4,702.50 / $17,812.50	Facility		$2,250.00	$4,702.50	$17,812.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,752.18 / $2,250.00 / $8,439.67	Professional		$1,752.18	$2,250.00	$8,439.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $5,804.08 / $9,600.00	Facility		$4,500.00	$5,804.08	$9,600.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $6,132.63 / $9,562.50	Professional		$4,500.00	$6,132.63	$9,562.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,387.50 / $6,375.00 / $7,650.00	Professional		$4,387.50	$6,375.00	$7,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.18 / $2,250.00 / $5,694.59	Professional		$1,752.18	$2,250.00	$5,694.59