Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $6,760.83	Professional		$851.14	$1,000.00	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,548.82	Professional		$1,380.38	$1,513.56	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,778.28	Facility		$1,122.02	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,754.23	Professional		$1,122.02	$1,862.09	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $7,413.10	Facility		$1,000.00	$1,737.80	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,584.89	Professional		$524.81	$794.33	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,981.07	Professional		$1,737.80	$2,187.76	$3,981.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,981.07	Professional		$2,187.76	$2,754.23	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,659.59	Facility		$549.54	$831.76	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,202.26	Professional		$524.81	$794.33	$1,202.26