Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,969.89 / $1,969.89	Facility		$1,789.55	$1,969.89	$1,969.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,166.88	Professional		$1,969.89	$1,969.89	$2,166.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.59 / $2,230.11 / $2,230.11	Facility		$1,895.59	$2,230.11	$2,230.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,924.64 / $2,118.59 / $2,230.11	Professional		$1,924.64	$2,118.59	$2,230.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $4,473.85	Professional		$1,969.89	$1,969.89	$4,473.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $2,773.80 / $3,400.15	Facility		$1,789.55	$2,773.80	$3,400.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $1,789.55 / $2,702.16	Professional		$1,789.55	$1,789.55	$2,702.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $612.51 / $2,147.44 / $2,147.44	Facility		$612.51	$2,147.44	$2,147.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,147.44 / $2,147.44 / $2,147.44	Professional		$2,147.44	$2,147.44	$2,147.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,871.40 / $1,969.89 / $2,403.27	Professional		$1,871.40	$1,969.89	$2,403.27