Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $3,388.44	Professional		$302.00	$371.54	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $575.44	Professional		$512.86	$562.34	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Facility		$478.63	$478.63	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,122.02	Professional		$478.63	$776.25	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $660.69 / $3,090.30	Facility		$371.54	$660.69	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $616.60	Professional		$194.98	$363.08	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,445.44	Professional		$645.65	$645.65	$1,445.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $1,445.44	Professional		$812.83	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $436.52 / $676.08	Facility		$389.05	$436.52	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $457.09	Professional		$223.87	$288.40	$457.09