Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.62 / $3,908.01 / $13,841.56	Facility		$268.62	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $181.97 / $181.97 / $201.47	Facility	54	$181.97	$181.97	$201.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $267.82 / $680.00	Professional		$221.28	$267.82	$680.00
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 $257.06 / $425.47 / $584.25	Professional		$257.06	$425.47	$584.25
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 $354.83 / $610.79 / $818.84	Professional		$354.83	$610.79	$818.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.63 / $443.22 / $616.36	Facility		$242.63	$443.22	$616.36
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $871.06 / $871.06 / $871.06	Facility	54	$871.06	$871.06	$871.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.19 / $553.01 / $1,987.04	Professional		$337.19	$553.01	$1,987.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $569.47 / $807.14	Facility		$212.73	$569.47	$807.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $583.58 / $807.14	Professional		$434.00	$583.58	$807.14
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 $337.19 / $553.01 / $720.56	Professional		$337.19	$553.01	$720.56