Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.40 / $2,138.40 / $3,240.00	Facility		$2,138.40	$2,138.40	$3,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.40 / $2,138.40 / $20,833.20	Professional		$2,138.40	$2,138.40	$20,833.20
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 $4,678.56 / $5,151.60 / $5,313.60	Professional		$4,678.56	$5,151.60	$5,313.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,698.00 / $5,940.87 / $8,294.40	Professional		$4,698.00	$5,940.87	$8,294.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $4,260.47 / $15,390.00	Facility		$1,944.00	$4,260.47	$15,390.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,704.45 / $1,944.00 / $8,209.77	Professional		$1,704.45	$1,944.00	$8,209.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,888.00 / $5,645.97 / $8,294.40	Facility		$3,888.00	$5,645.97	$8,294.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $5,613.35 / $8,262.00	Professional		$3,888.00	$5,613.35	$8,262.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,790.80 / $5,508.00 / $6,609.60	Professional		$3,790.80	$5,508.00	$6,609.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,704.45 / $1,944.00 / $3,240.00	Professional		$1,704.45	$1,944.00	$3,240.00