Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.81 / $1,389.81 / $1,389.81	Facility		$1,389.81	$1,389.81	$1,389.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.81 / $1,389.81 / $1,638.73	Professional		$1,389.81	$1,389.81	$1,638.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,915.44 / $2,106.98 / $2,128.27	Professional		$1,915.44	$2,106.98	$2,128.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $2,397.29 / $2,397.29	Facility		$1,222.54	$2,397.29	$2,397.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,331.96 / $2,539.13 / $3,696.68	Professional		$2,331.96	$2,539.13	$3,696.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,097.24 / $2,362.67 / $10,198.75	Facility		$1,097.24	$2,362.67	$10,198.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $829.74 / $1,289.83 / $1,812.10	Professional		$829.74	$1,289.83	$1,812.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,390.27 / $2,397.29 / $3,020.54	Facility		$2,390.27	$2,397.29	$3,020.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,140.00 / $2,833.16 / $4,938.84	Professional		$2,140.00	$2,833.16	$4,938.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,217.37 / $2,217.37	Facility		$2,217.37	$2,217.37	$2,217.37
United Facility/Professional Professional Modifier Low / Median / High Price $829.74 / $1,163.75 / $1,504.11	Professional		$829.74	$1,163.75	$1,504.11