Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.57 / $3,908.01 / $13,841.56	Facility		$255.57	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.56 / $183.56 / $191.68	Facility	54	$183.56	$183.56	$191.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $254.30 / $1,251.61	Professional		$222.33	$254.30	$1,251.61
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 $248.46 / $418.56 / $564.66	Professional		$248.46	$418.56	$564.66
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 $367.00 / $600.44 / $817.57	Professional		$367.00	$600.44	$817.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.74 / $430.12 / $641.05	Facility		$244.74	$430.12	$641.05
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $874.23 / $874.23 / $874.23	Facility	54	$874.23	$874.23	$874.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.17 / $545.80 / $1,995.84	Professional		$325.17	$545.80	$1,995.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $579.76 / $792.68	Facility		$212.73	$579.76	$792.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $600.44 / $792.68	Professional		$435.00	$600.44	$792.68
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 $325.17 / $545.80 / $700.36	Professional		$325.17	$545.80	$700.36