Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,801.89 / $12,589.25	Facility		$691.83	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $1,659.59	Professional		$275.42	$436.52	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $8,511.38	Facility		$3,388.44	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $616.60	Professional		$263.03	$457.09	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $891.25	Professional		$323.59	$660.69	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $467.74 / $1,230.27	Facility		$288.40	$467.74	$1,230.27
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	54	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $2,344.23	Professional		$338.84	$616.60	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $912.01	Professional		$645.65	$691.83	$912.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $954.99	Professional		$660.69	$724.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,230.27 / $4,466.84	Facility		$309.03	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $741.31	Professional		$316.23	$501.19	$741.31