Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $20,892.96	Professional		$2,691.53	$3,162.28	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $4,786.30	Professional		$4,365.16	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $5,495.41	Facility		$2,754.23	$2,754.23	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $8,511.38	Professional		$2,754.23	$5,754.40	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $22,908.68	Facility		$3,162.28	$5,370.32	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $4,897.79	Professional		$1,621.81	$2,454.71	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $12,302.69	Professional		$5,370.32	$5,370.32	$12,302.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $12,302.69	Professional		$6,760.83	$12,302.69	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,128.61	Facility		$1,698.24	$2,570.40	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,715.35	Professional		$1,621.81	$2,454.71	$3,715.35