Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,463.36 / $11,611.47 / $24,068.03	Facility		$5,463.36	$11,611.47	$24,068.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.74 / $1,083.74 / $6,296.01	Professional		$1,083.74	$1,083.74	$6,296.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,813.88 / $15,538.48 / $30,056.44	Facility		$11,813.88	$15,538.48	$30,056.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.95 / $1,767.84 / $2,370.34	Professional		$1,042.95	$1,767.84	$2,370.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,622.63 / $2,666.08 / $3,571.09	Professional		$1,622.63	$2,666.08	$3,571.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,083.74 / $2,166.23 / $9,855.12	Facility		$1,083.74	$2,166.23	$9,855.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,684.46 / $2,404.46 / $8,754.48	Professional		$1,684.46	$2,404.46	$8,754.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $2,743.58 / $5,542.97	Facility		$1,932.00	$2,743.58	$5,542.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,823.13 / $2,381.67 / $3,195.84	Professional		$1,823.13	$2,381.67	$3,195.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,883.33 / $7,221.00 / $8,816.00	Facility		$4,883.33	$7,221.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,684.46 / $2,492.98 / $2,781.60	Professional		$1,684.46	$2,492.98	$2,781.60