Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.45 / $1,287.45 / $1,287.45	Facility		$1,287.45	$1,287.45	$1,287.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.45 / $1,287.45 / $1,518.04	Professional		$1,287.45	$1,287.45	$1,518.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,774.38 / $1,951.80 / $1,971.53	Professional		$1,774.38	$1,951.80	$1,971.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $2,220.73 / $2,220.73	Facility		$1,576.65	$2,220.73	$2,220.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.65 / $2,220.73 / $3,532.03	Professional		$1,576.65	$2,220.73	$3,532.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,158.71 / $2,209.81 / $9,757.10	Facility		$1,158.71	$2,209.81	$9,757.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $768.63 / $1,248.00 / $1,678.63	Professional		$768.63	$1,248.00	$1,678.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,214.23 / $2,220.73 / $2,850.19	Facility		$2,214.23	$2,220.73	$2,850.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,959.00 / $2,624.51 / $4,575.07	Professional		$1,959.00	$2,624.51	$4,575.07
United Facility/Professional Professional Modifier Low / Median / High Price $768.63 / $1,228.20 / $1,442.35	Professional		$768.63	$1,228.20	$1,442.35