Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,951.21 / $2,951.21	Facility		$128.82	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,467.37	Professional		$2,951.21	$2,951.21	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,388.44	Facility		$2,511.89	$3,235.94	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $3,388.44	Professional		$3,162.28	$3,235.94	$3,388.44
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 $147.91 / $2,951.21 / $3,467.37	Professional		$147.91	$2,951.21	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $5,623.41	Facility		$2,884.03	$3,467.37	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,467.37	Professional		$2,884.03	$2,884.03	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,365.16	Professional		$3,467.37	$3,467.37	$4,365.16
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 $4,365.16 / $7,244.36 / $7,244.36	Professional		$4,365.16	$7,244.36	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,677.35 / $7,585.78	Facility		$2,884.03	$4,677.35	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,818.38 / $2,884.03	Professional		$125.89	$2,818.38	$2,884.03