Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,943.28 / $14,454.40	Facility		$1,778.28	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $5,370.32	Professional		$891.25	$1,000.00	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,120.11 / $17,782.79	Facility		$6,918.31	$9,120.11	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,137.96	Professional		$891.25	$1,513.56	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $2,884.03	Professional		$1,047.13	$2,187.76	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,584.89 / $10,471.29	Facility		$891.25	$1,584.89	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $7,244.36	Professional		$1,023.29	$1,819.70	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,019.95	Professional		$1,862.09	$2,187.76	$3,019.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $3,019.95	Professional		$2,137.96	$2,238.72	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,511.38 / $10,000.00	Facility		$6,918.31	$8,511.38	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $2,454.71	Professional		$1,023.29	$1,737.80	$2,454.71