Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,135.61	Facility		$4,570.88	$7,943.28	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $7,762.47	Professional		$1,288.25	$1,548.82	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $11,748.98 / $22,908.68	Facility		$9,120.11	$11,748.98	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $2,818.38	Professional		$1,288.25	$2,187.76	$2,818.38
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 $2,691.53 / $3,235.94 / $4,073.80	Professional		$2,691.53	$3,235.94	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $8,912.51	Facility		$1,318.26	$2,630.27	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,715.35	Professional		$1,659.59	$2,511.89	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $4,265.80	Professional		$2,691.53	$2,951.21	$4,265.80
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 $2,691.53 / $3,019.95 / $3,890.45	Professional		$2,691.53	$3,019.95	$3,890.45
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 $1,621.81 / $2,691.53 / $3,388.44	Professional		$1,621.81	$2,691.53	$3,388.44