Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,073.80 / $12,589.25	Facility		$1,202.26	$4,073.80	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,318.26	Professional		$426.58	$549.54	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $8,511.38	Facility		$3,388.44	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,096.48	Professional		$467.74	$776.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,584.89	Professional		$575.44	$1,122.02	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $2,344.23	Facility		$501.19	$831.76	$2,344.23
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	54	$1,621.81	$1,621.81	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,023.29 / $4,073.80	Professional		$562.34	$1,023.29	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,584.89	Professional		$1,096.48	$1,202.26	$1,584.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,659.59	Professional		$1,096.48	$1,258.93	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $8,128.31	Facility		$1,995.26	$3,162.28	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,318.26	Professional		$562.34	$891.25	$1,318.26