Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $13,489.63	Professional		$1,412.54	$1,778.28	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $2,691.53	Professional		$2,398.83	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,090.30	Facility		$2,398.83	$2,398.83	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $5,128.61	Professional		$2,398.83	$3,467.37	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $14,125.38	Facility		$1,778.28	$3,019.95	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $2,884.03	Professional		$912.01	$1,778.28	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,918.31	Professional		$3,019.95	$3,019.95	$6,918.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,918.31 / $6,918.31	Professional		$3,801.89	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $2,187.76	Facility		$758.58	$1,819.70	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,089.30	Professional		$1,047.13	$1,380.38	$2,089.30