Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $3,795.64 / $13,841.56	Facility		$313.93	$3,795.64	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.92 / $222.92 / $235.45	Facility	54	$222.92	$222.92	$235.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.82 / $313.93 / $1,481.00	Professional		$268.82	$313.93	$1,481.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,350.61 / $4,406.97 / $8,524.51	Facility		$3,350.61	$4,406.97	$8,524.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.19 / $512.95 / $686.83	Professional		$302.19	$512.95	$686.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $193.40	Facility		$193.40	$193.40	$193.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.70 / $730.71 / $991.75	Professional		$448.70	$730.71	$991.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $523.25 / $796.40	Facility		$297.22	$523.25	$796.40
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,063.92 / $1,063.92 / $1,063.92	Facility	54	$1,063.92	$1,063.92	$1,063.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.92 / $661.47 / $2,426.88	Professional		$398.92	$661.47	$2,426.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $698.73 / $971.22	Facility		$212.73	$698.73	$971.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $730.71 / $971.22	Professional		$540.00	$730.71	$971.22
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 $398.92 / $659.75 / $859.21	Professional		$398.92	$659.75	$859.21