Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.68 / $1,203.68 / $1,203.68	Facility		$1,203.68	$1,203.68	$1,203.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.68 / $1,203.68 / $1,562.98	Professional		$1,203.68	$1,203.68	$1,562.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,658.92 / $1,824.80 / $1,843.24	Professional		$1,658.92	$1,824.80	$1,843.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $2,076.23 / $2,076.23	Facility		$1,179.41	$2,076.23	$2,076.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $2,076.23 / $3,201.58	Professional		$1,179.41	$2,076.23	$3,201.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,083.31 / $2,066.01 / $10,013.70	Facility		$1,083.31	$2,066.01	$10,013.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $718.61 / $941.64 / $1,569.40	Professional		$718.61	$941.64	$1,569.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,070.15 / $2,076.23 / $2,867.38	Facility		$2,070.15	$2,076.23	$2,867.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,879.86 / $2,488.37 / $4,277.35	Professional		$1,879.86	$2,488.37	$4,277.35
United Facility/Professional Professional Modifier Low / Median / High Price $718.61 / $941.64 / $1,417.03	Professional		$718.61	$941.64	$1,417.03