Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.42 / $5,463.36 / $20,928.72	Facility		$177.42	$5,463.36	$20,928.72
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $133.07 / $133.07 / $134.22	Facility	54	$133.07	$133.07	$134.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $178.97 / $783.00	Professional		$151.78	$178.97	$783.00
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 $175.97 / $296.97 / $399.97	Professional		$175.97	$296.97	$399.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.77 / $187.77 / $187.77	Facility		$187.77	$187.77	$187.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $438.86 / $579.46	Professional		$253.00	$438.86	$579.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.42 / $307.61 / $495.35	Facility		$177.42	$307.61	$495.35
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $359.03 / $638.98 / $638.98	Facility	54	$359.03	$638.98	$638.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.48 / $374.86 / $1,452.64	Professional		$224.48	$374.86	$1,452.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.55 / $418.66 / $550.75	Facility		$206.55	$418.66	$550.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $421.07 / $550.75	Professional		$301.00	$421.07	$550.75
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 $224.48 / $383.35 / $483.50	Professional		$224.48	$383.35	$483.50