Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $26,915.35	Professional		$3,090.30	$3,715.35	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,623.41 / $5,754.40	Professional		$5,128.61	$5,623.41	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $6,606.93	Facility		$3,715.35	$3,715.35	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,606.93 / $10,000.00	Professional		$3,715.35	$6,606.93	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,606.93 / $26,915.35	Facility		$3,715.35	$6,606.93	$26,915.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $4,897.79	Professional		$2,137.96	$3,388.44	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $14,791.08	Professional		$6,456.54	$6,456.54	$14,791.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $14,791.08 / $14,791.08	Professional		$8,128.31	$14,791.08	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $5,888.44	Facility		$3,388.44	$3,890.45	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,365.16	Professional		$2,137.96	$2,951.21	$4,365.16