Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,038.50	Facility		$1,902.62	$1,902.62	$2,038.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,092.88	Professional		$1,902.62	$1,902.62	$2,092.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.87 / $2,153.96 / $2,153.96	Facility		$1,830.87	$2,153.96	$2,153.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,046.26 / $2,153.96 / $2,307.79	Professional		$2,046.26	$2,153.96	$2,307.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $2,819.91 / $3,618.88	Professional		$79.06	$2,819.91	$3,618.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.84 / $2,819.91 / $3,873.15	Facility		$153.84	$2,819.91	$3,873.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,525.71	Professional		$2,038.50	$2,038.50	$2,525.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $2,819.91 / $3,618.88	Facility		$79.06	$2,819.91	$3,618.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $2,446.19 / $3,618.88	Professional		$79.06	$2,446.19	$3,618.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,712.36 / $1,902.62 / $2,092.88	Professional		$1,712.36	$1,902.62	$2,092.88