Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Facility		$389.05	$389.05	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $2,630.27	Professional		$389.05	$446.68	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,454.71	Facility		$977.24	$1,230.27	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $812.83	Professional		$724.44	$758.58	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,288.25	Professional		$537.03	$954.99	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $724.44 / $5,623.41	Facility		$354.81	$724.44	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $3,162.28	Professional		$398.11	$562.34	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,445.44	Professional		$812.83	$912.01	$1,445.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $977.24	Professional		$954.99	$954.99	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $933.25	Facility		$436.52	$724.44	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,000.00	Professional		$398.11	$616.60	$1,000.00