Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,459.21 / $2,459.21 / $2,459.21	Facility		$2,459.21	$2,459.21	$2,459.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,459.21 / $2,459.21 / $2,899.66	Professional		$2,459.21	$2,459.21	$2,899.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,389.30 / $3,728.23 / $3,765.88	Professional		$3,389.30	$3,728.23	$3,765.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $4,241.89 / $4,241.89	Facility		$3,297.39	$4,241.89	$4,241.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,297.39 / $4,241.89 / $7,386.56	Professional		$3,297.39	$4,241.89	$7,386.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,213.29 / $4,221.03 / $19,929.31	Facility		$2,213.29	$4,221.03	$19,929.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,468.18 / $2,520.31 / $3,206.43	Professional		$1,468.18	$2,520.31	$3,206.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,229.50 / $4,241.89 / $5,807.70	Facility		$4,229.50	$4,241.89	$5,807.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,527.07 / $5,013.14 / $8,739.03	Professional		$3,527.07	$5,013.14	$8,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,332.71 / $4,332.71 / $4,332.71	Facility		$4,332.71	$4,332.71	$4,332.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,468.18 / $1,923.86 / $3,018.20	Professional		$1,468.18	$1,923.86	$3,018.20