Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.24 / $3,908.01 / $13,841.56	Facility		$450.24	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $330.95 / $330.95 / $337.68	Facility	54	$330.95	$330.95	$337.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.27 / $450.24 / $2,502.30	Professional		$441.27	$450.24	$2,502.30
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 $437.13 / $737.65 / $993.48	Professional		$437.13	$737.65	$993.48
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 $690.00 / $1,078.60 / $1,417.54	Professional		$690.00	$1,078.60	$1,417.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.27 / $765.41 / $1,198.86	Facility		$441.27	$765.41	$1,198.86
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,570.45 / $1,570.45 / $1,570.45	Facility	54	$1,570.45	$1,570.45	$1,570.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.66 / $965.65 / $3,596.48	Professional		$583.66	$965.65	$3,596.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $1,070.23 / $1,417.54	Facility		$214.08	$1,070.23	$1,417.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $802.60 / $1,078.60 / $1,417.54	Professional		$802.60	$1,078.60	$1,417.54
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 $583.66 / $996.71 / $1,257.11	Professional		$583.66	$996.71	$1,257.11