Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $14,454.40	Facility		$5,011.87	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $8,912.51	Professional		$1,479.11	$1,621.81	$8,912.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $11,748.98 / $22,908.68	Facility		$9,120.11	$11,748.98	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $3,311.31	Professional		$1,445.44	$2,454.71	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $4,677.35	Professional		$1,819.70	$3,715.35	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $8,912.51	Facility		$1,513.56	$2,570.40	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $14,454.40	Professional		$1,698.24	$3,090.30	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $5,011.87	Professional		$3,162.28	$3,801.89	$5,011.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $5,011.87	Professional		$3,548.13	$3,715.35	$5,011.87
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 $1,698.24 / $2,951.21 / $4,365.16	Professional		$1,698.24	$2,951.21	$4,365.16