Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $5,963.77	Facility		$2,698.05	$2,698.05	$5,963.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $4,527.87	Professional		$2,698.05	$2,698.05	$4,527.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.05 / $2,927.12 / $2,927.12	Facility		$2,488.05	$2,927.12	$2,927.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,143.44 / $3,308.88 / $3,308.88	Professional		$3,143.44	$3,308.88	$3,308.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,635.00 / $2,635.00 / $2,635.00	Facility		$2,635.00	$2,635.00	$2,635.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,815.54 / $4,093.52	Professional		$2,698.05	$3,815.54	$4,093.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,580.15 / $3,912.17 / $5,396.10	Facility		$2,580.15	$3,912.17	$5,396.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,658.13 / $2,959.06 / $4,047.08	Professional		$2,658.13	$2,959.06	$4,047.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,189.75 / $3,987.19 / $5,050.45	Facility		$3,189.75	$3,987.19	$5,050.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,189.75 / $4,031.46 / $5,798.09	Professional		$3,189.75	$4,031.46	$5,798.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,156.72 / $3,794.70 / $5,746.20	Professional		$3,156.72	$3,794.70	$5,746.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,210.68	Professional		$2,698.05	$2,698.05	$3,210.68