Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $9,332.54	Professional		$1,096.48	$1,380.38	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,137.96	Professional		$1,905.46	$2,089.30	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,454.71	Facility		$1,230.27	$1,230.27	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $3,715.35	Professional		$1,230.27	$2,511.89	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $10,232.93	Facility		$1,380.38	$2,398.83	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,187.76	Professional		$724.44	$1,288.25	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,495.41	Professional		$2,398.83	$2,398.83	$5,495.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $5,495.41	Professional		$3,019.95	$5,495.41	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,238.72	Facility		$1,288.25	$1,479.11	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,659.59	Professional		$812.83	$1,096.48	$1,659.59