Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.63 / $1,231.63 / $1,231.63	Facility		$1,231.63	$1,231.63	$1,231.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.63 / $1,231.63 / $1,599.28	Professional		$1,231.63	$1,231.63	$1,599.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,697.44 / $1,867.19 / $1,886.05	Professional		$1,697.44	$1,867.19	$1,886.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $2,124.44 / $2,124.44	Facility		$1,206.80	$2,124.44	$2,124.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.80 / $2,124.44 / $3,731.72	Professional		$1,206.80	$2,124.44	$3,731.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,231.63 / $2,113.98 / $10,169.41	Facility		$1,231.63	$2,113.98	$10,169.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $735.30 / $963.51 / $1,605.85	Professional		$735.30	$963.51	$1,605.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,118.23 / $2,124.44 / $2,933.94	Facility		$2,118.23	$2,124.44	$2,933.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,923.51 / $2,543.73 / $4,376.68	Professional		$1,923.51	$2,543.73	$4,376.68
United Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $963.51 / $1,511.58	Professional		$698.54	$963.51	$1,511.58