Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $154.88	Facility		$134.90	$134.90	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $288.40	Professional		$123.03	$151.36	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,630.78 / $7,413.10	Facility		$776.25	$3,630.78	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $281.84	Professional		$251.19	$269.15	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $13,182.57	Facility		$794.33	$794.33	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $338.84 / $501.19	Professional		$123.03	$338.84	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $354.81 / $1,348.96	Facility		$134.90	$354.81	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $3,981.07	Professional		$173.78	$309.03	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $501.19	Professional		$275.42	$316.23	$501.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,000.00	Professional		$309.03	$501.19	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,884.03 / $7,244.36	Facility		$81.28	$2,884.03	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $524.81	Professional		$162.18	$288.40	$524.81