Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,801.89 / $12,589.25	Facility		$426.58	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $851.14	Professional		$165.96	$245.47	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,162.28	Facility		$1,230.27	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $380.19	Professional		$162.18	$275.42	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $602.56	Professional		$363.08	$478.63	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $331.13 / $1,230.27	Facility		$151.36	$331.13	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $1,230.27	Professional		$281.84	$407.38	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $588.84	Professional		$380.19	$467.74	$588.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $501.19	Professional		$363.08	$457.09	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,230.27 / $4,466.84	Facility		$398.11	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $478.63	Professional		$223.87	$346.74	$478.63