Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.00 / $2,376.00 / $3,600.00	Facility		$2,376.00	$2,376.00	$3,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.00 / $2,376.00 / $2,376.00	Professional		$2,376.00	$2,376.00	$2,376.00
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 $5,198.39 / $5,724.00 / $5,904.00	Professional		$5,198.39	$5,724.00	$5,904.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,599.37 / $9,216.00	Professional		$4,320.00	$6,599.37	$9,216.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,514.39 / $17,100.00	Facility		$2,160.00	$4,514.39	$17,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $10,404.00	Professional		$2,160.00	$2,160.00	$10,404.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $6,583.50 / $13,526.18	Facility		$4,320.00	$6,583.50	$13,526.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,599.37 / $9,216.00	Professional		$4,320.00	$6,599.37	$9,216.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,212.00 / $6,120.00 / $7,344.00	Professional		$4,212.00	$6,120.00	$7,344.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $3,960.00 / $14,400.00	Facility		$2,160.00	$3,960.00	$14,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,052.00 / $2,160.00 / $3,240.00	Professional		$2,052.00	$2,160.00	$3,240.00