Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $5,011.87	Professional		$575.44	$812.83	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,258.93	Professional		$1,122.02	$1,230.27	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,445.44	Facility		$933.25	$933.25	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,238.72	Professional		$933.25	$1,621.81	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $6,025.60	Facility		$812.83	$1,412.54	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,288.25	Professional		$426.58	$776.25	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,235.94	Professional		$1,412.54	$1,778.28	$3,235.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,235.94	Professional		$1,778.28	$2,238.72	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,348.96	Facility		$524.81	$870.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,000.00	Professional		$478.63	$645.65	$1,000.00