Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.93 / $3,908.01 / $13,841.56	Facility		$483.93	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $332.55 / $332.55 / $362.95	Facility	54	$332.55	$332.55	$362.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.40 / $483.93 / $2,521.42	Professional		$443.40	$483.93	$2,521.42
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 $463.12 / $760.42 / $1,052.55	Professional		$463.12	$760.42	$1,052.55
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 $753.00 / $1,100.86 / $1,510.48	Professional		$753.00	$1,100.86	$1,510.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.40 / $820.29 / $1,308.59	Facility		$443.40	$820.29	$1,308.59
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,572.54 / $1,572.54 / $1,572.54	Facility	54	$1,572.54	$1,572.54	$1,572.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $629.84 / $1,052.10 / $3,599.84	Professional		$629.84	$1,052.10	$3,599.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $1,080.05 / $1,496.47	Facility		$214.08	$1,080.05	$1,496.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $871.45 / $1,085.10 / $1,496.47	Professional		$871.45	$1,085.10	$1,496.47
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 $629.84 / $1,052.10 / $1,356.57	Professional		$629.84	$1,052.10	$1,356.57