Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,412.54 / $1,412.54	Facility		$128.82	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Professional		$1,412.54	$1,412.54	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $4,265.80	Facility		$1,380.38	$1,621.81	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $1,621.81	Professional		$1,513.56	$1,548.82	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $309.03	Facility		$169.82	$223.87	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,137.96	Professional		$1,412.54	$1,659.59	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,630.27	Facility		$1,380.38	$1,659.59	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,737.80	Professional		$1,380.38	$1,380.38	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,187.76	Professional		$1,659.59	$1,659.59	$2,187.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $309.03	Facility		$169.82	$208.93	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,388.44	Professional		$1,659.59	$2,187.76	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,715.35	Facility		$1,380.38	$2,290.87	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,380.38 / $1,445.44	Professional		$125.89	$1,380.38	$1,445.44