Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,556.14 / $2,556.14 / $2,556.14	Facility		$2,556.14	$2,556.14	$2,556.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,556.14 / $2,556.14 / $3,013.95	Professional		$2,556.14	$2,556.14	$3,013.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,006.20 / $3,006.20 / $3,006.20	Professional		$3,006.20	$3,006.20	$3,006.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,522.88 / $3,875.17 / $3,914.32	Professional		$3,522.88	$3,875.17	$3,914.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $4,409.09 / $4,409.09	Facility		$2,160.07	$4,409.09	$4,409.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.07 / $4,409.09 / $6,798.91	Professional		$2,160.07	$4,409.09	$6,798.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,063.76 / $4,345.43 / $18,029.93	Facility		$2,063.76	$4,345.43	$18,029.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,526.05 / $2,299.48 / $4,008.26	Professional		$1,526.05	$2,299.48	$4,008.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,396.18 / $4,409.09 / $5,555.31	Facility		$4,396.18	$4,409.09	$5,555.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,788.00 / $5,210.74 / $9,083.44	Professional		$3,788.00	$5,210.74	$9,083.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,526.05 / $2,056.19 / $2,657.57	Professional		$1,526.05	$2,056.19	$2,657.57