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 $1,258.93 / $1,412.54 / $7,585.78	Professional		$1,258.93	$1,412.54	$7,585.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,623.41 / $10,964.78	Facility		$4,265.80	$5,623.41	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,754.23	Professional		$1,258.93	$2,137.96	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,019.95 / $3,981.07	Professional		$1,445.44	$3,019.95	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $8,709.64	Facility		$1,258.93	$2,187.76	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $10,232.93	Professional		$1,412.54	$2,454.71	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $4,265.80	Professional		$2,630.27	$3,019.95	$4,265.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $4,265.80	Professional		$3,019.95	$3,162.28	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $8,912.51	Facility		$4,073.80	$5,495.41	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,311.31	Professional		$1,445.44	$2,398.83	$3,311.31