Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $16,982.44	Professional		$1,698.24	$1,995.26	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,019.95	Professional		$2,754.23	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,467.37	Facility		$1,819.70	$1,819.70	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $5,623.41	Professional		$1,819.70	$3,715.35	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $15,135.61	Facility		$1,995.26	$3,467.37	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,090.30	Professional		$1,023.29	$1,548.82	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $7,762.47	Professional		$3,388.44	$3,388.44	$7,762.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $7,762.47	Professional		$4,265.80	$7,762.47	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,388.44	Facility		$1,122.02	$1,737.80	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,344.23	Professional		$1,023.29	$1,548.82	$2,344.23