Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.07 / $1,659.07 / $1,659.07	Facility		$1,659.07	$1,659.07	$1,659.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.07 / $1,659.07 / $1,730.92	Professional		$1,659.07	$1,659.07	$1,730.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,037.57 / $2,483.46 / $3,079.05	Professional		$2,037.57	$2,483.46	$3,079.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,244.86 / $2,668.51 / $2,925.25	Facility		$2,244.86	$2,668.51	$2,925.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,683.79 / $3,000.00 / $13,495.20	Professional		$1,683.79	$3,000.00	$13,495.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,082.17 / $2,956.71 / $3,385.99	Facility		$2,082.17	$2,956.71	$3,385.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,545.56 / $3,079.05 / $3,385.99	Professional		$2,545.56	$3,079.05	$3,385.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $3,000.00 / $3,876.85	Professional		$1,650.00	$3,000.00	$3,876.85