Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,687.35 / $2,687.35 / $2,687.35	Facility		$2,687.35	$2,687.35	$2,687.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,687.35 / $2,687.35 / $3,168.67	Professional		$2,687.35	$2,687.35	$3,168.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,703.71 / $4,074.09 / $4,115.25	Professional		$3,703.71	$4,074.09	$4,115.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $4,635.42 / $4,635.42	Facility		$2,741.63	$4,635.42	$4,635.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,741.63 / $4,635.42 / $7,147.92	Professional		$2,741.63	$4,635.42	$7,147.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,260.17 / $4,612.62 / $21,030.00	Facility		$2,260.17	$4,612.62	$21,030.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,604.39 / $2,778.10 / $3,503.88	Professional		$1,604.39	$2,778.10	$3,503.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,621.87 / $4,635.42 / $6,401.73	Facility		$4,621.87	$4,635.42	$6,401.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,197.03 / $5,555.59 / $9,549.73	Professional		$4,197.03	$5,555.59	$9,549.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,524.17 / $2,102.33 / $3,239.62	Professional		$1,524.17	$2,102.33	$3,239.62