Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $549.54 / $549.54	Facility		$128.82	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $776.25	Professional		$549.54	$562.34	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $602.56 / $630.96	Facility		$467.74	$602.56	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $630.96	Professional		$588.84	$602.56	$630.96
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 $549.54 / $1,122.02 / $3,388.44	Professional		$549.54	$1,122.02	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $5,370.32	Facility		$2,570.40	$3,162.28	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,388.44	Professional		$2,691.53	$2,818.38	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,388.44 / $4,265.80	Professional		$1,230.27	$3,388.44	$4,265.80
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 $1,230.27 / $4,265.80 / $7,079.46	Professional		$1,230.27	$4,265.80	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $7,413.10	Facility		$2,818.38	$4,570.88	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,691.53 / $2,818.38	Professional		$125.89	$2,691.53	$2,818.38