Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,786.30 / $12,589.25	Facility		$1,174.90	$4,786.30	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,621.81	Professional		$436.52	$707.95	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $16,595.87	Facility		$6,456.54	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $1,047.13	Professional		$426.58	$741.31	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,621.81	Professional		$630.96	$1,096.48	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $4,265.80	Facility		$501.19	$758.58	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $5,011.87	Professional		$645.65	$1,122.02	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,659.59	Professional		$977.24	$1,258.93	$1,659.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,659.59	Professional		$977.24	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,456.54 / $8,317.64	Facility		$3,715.35	$6,456.54	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,318.26	Professional		$512.86	$870.96	$1,318.26