Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $4,466.84	Facility		$1,621.81	$3,162.28	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $9,332.54	Professional		$1,621.81	$2,137.96	$9,332.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,943.28 / $15,488.17	Facility		$6,025.60	$7,943.28	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $3,981.07	Professional		$1,659.59	$2,951.21	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $6,309.57	Professional		$2,570.40	$4,466.84	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $7,943.28	Facility		$1,995.26	$3,235.94	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $15,848.93	Professional		$2,630.27	$4,466.84	$15,848.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $6,456.54	Professional		$3,890.45	$4,897.79	$6,456.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $6,456.54	Professional		$3,890.45	$4,786.30	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $9,120.11	Facility		$6,309.57	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $5,370.32	Professional		$2,187.76	$3,630.78	$5,370.32