Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $12,589.25	Facility		$2,344.23	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $6,309.57	Professional		$1,071.52	$1,548.82	$6,309.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,912.51 / $17,378.01	Facility		$6,760.83	$8,912.51	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,398.83	Professional		$1,071.52	$1,778.28	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $3,311.31	Professional		$1,230.27	$2,511.89	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $6,918.31	Facility		$1,071.52	$1,905.46	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $8,709.64	Professional		$1,230.27	$2,187.76	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,630.78	Professional		$2,238.72	$2,691.53	$3,630.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $3,630.78	Professional		$2,511.89	$2,630.27	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,495.41 / $8,912.51	Facility		$2,398.83	$5,495.41	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $2,884.03	Professional		$1,230.27	$2,089.30	$2,884.03