Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.09 / $4,241.22 / $12,765.09	Facility		$728.09	$4,241.22	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.60 / $955.48 / $4,080.00	Professional		$194.60	$955.48	$4,080.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,335.87 / $4,387.57 / $8,486.99	Facility		$3,335.87	$4,387.57	$8,486.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $317.44 / $423.86	Professional		$186.50	$317.44	$423.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $469.02 / $648.59	Professional		$388.64	$469.02	$648.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.60 / $465.14 / $1,775.00	Facility		$194.60	$465.14	$1,775.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $778.71 / $778.71 / $778.71	Facility	52	$778.71	$778.71	$778.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $97.34 / $97.34 / $97.34	Facility	AS	$97.34	$97.34	$97.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.44 / $459.53 / $1,569.76	Professional		$258.44	$459.53	$1,569.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $467.98 / $648.59	Facility		$294.00	$467.98	$648.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $467.98 / $648.59	Professional		$321.17	$467.98	$648.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.44 / $459.53 / $502.65	Professional		$258.44	$459.53	$502.65