Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.68 / $3,908.01 / $13,841.56	Facility		$249.68	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.71 / $171.71 / $187.26	Facility	54	$171.71	$171.71	$187.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.95 / $249.68 / $1,163.92	Professional		$228.95	$249.68	$1,163.92
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 $238.94 / $398.18 / $543.04	Professional		$238.94	$398.18	$543.04
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 $342.66 / $577.16 / $773.76	Professional		$342.66	$577.16	$773.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.95 / $411.97 / $586.73	Facility		$228.95	$411.97	$586.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $824.44 / $824.44 / $824.44	Facility	54	$824.44	$824.44	$824.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $530.50 / $1,874.80	Professional		$317.52	$530.50	$1,874.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $539.13 / $759.18	Facility		$212.73	$539.13	$759.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $566.24 / $759.18	Professional		$419.00	$566.24	$759.18
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 $317.52 / $513.51 / $683.90	Professional		$317.52	$513.51	$683.90