Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $14,454.40	Facility		$4,265.80	$7,585.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $5,495.41	Professional		$912.01	$1,071.52	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $12,302.69	Facility		$4,786.30	$6,309.57	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,137.96	Professional		$912.01	$1,548.82	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,818.38	Professional		$1,905.46	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,778.28 / $8,912.51	Facility		$912.01	$1,778.28	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,511.89	Professional		$1,122.02	$1,698.24	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $2,951.21	Professional		$1,905.46	$1,995.26	$2,951.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,570.40	Professional		$1,905.46	$2,137.96	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $8,912.51	Facility		$4,677.35	$5,888.44	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,344.23	Professional		$1,096.48	$1,819.70	$2,344.23