Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $13,489.63	Professional		$1,380.38	$1,621.81	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $2,454.71	Professional		$2,238.72	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,818.38	Facility		$1,548.82	$1,548.82	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,090.30 / $4,466.84	Professional		$1,548.82	$3,090.30	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $12,302.69	Facility		$1,621.81	$2,818.38	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,570.40	Professional		$831.76	$1,258.93	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $6,309.57	Professional		$2,754.23	$2,754.23	$6,309.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,309.57 / $6,309.57	Professional		$3,467.37	$6,309.57	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,691.53	Facility		$912.01	$1,380.38	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,905.46	Professional		$831.76	$1,258.93	$1,905.46