Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $6,760.83	Professional		$660.69	$794.33	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,230.27	Professional		$1,096.48	$1,202.26	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,412.54	Facility		$741.31	$741.31	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,380.38 / $2,238.72	Professional		$741.31	$1,380.38	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,412.54 / $6,309.57	Facility		$794.33	$1,412.54	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,258.93	Professional		$416.87	$630.96	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $3,162.28	Professional		$1,380.38	$1,380.38	$3,162.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $3,162.28	Professional		$1,737.80	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,348.96	Facility		$457.09	$691.83	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $977.24	Professional		$416.87	$630.96	$977.24