Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,065.21 / $3,065.21 / $3,065.21	Facility		$3,065.21	$3,065.21	$3,065.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,065.21 / $3,065.21 / $3,614.20	Professional		$3,065.21	$3,065.21	$3,614.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,224.50 / $4,646.93 / $4,693.89	Professional		$4,224.50	$4,646.93	$4,693.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $5,287.19 / $5,287.19	Facility		$2,886.72	$5,287.19	$5,287.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,886.72 / $5,287.19 / $8,152.98	Professional		$2,886.72	$5,287.19	$8,152.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,420.00 / $5,210.85 / $22,493.11	Facility		$2,420.00	$5,210.85	$22,493.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,829.98 / $2,870.29 / $4,717.08	Professional		$1,829.98	$2,870.29	$4,717.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,271.72 / $5,287.19 / $6,661.69	Facility		$5,271.72	$5,287.19	$6,661.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,719.00 / $6,248.50 / $10,892.50	Professional		$4,719.00	$6,248.50	$10,892.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,890.35 / $4,890.35 / $4,890.35	Facility		$4,890.35	$4,890.35	$4,890.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,829.98 / $2,397.94 / $3,317.27	Professional		$1,829.98	$2,397.94	$3,317.27