Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.59 / $3,908.01 / $13,841.56	Facility		$486.59	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.45 / $345.45 / $364.94	Facility	54	$345.45	$345.45	$364.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.60 / $486.59 / $2,539.86	Professional		$460.60	$486.59	$2,539.86
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 $465.67 / $792.40 / $1,058.32	Professional		$465.67	$792.40	$1,058.32
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 $763.00 / $1,156.82 / $1,550.89	Professional		$763.00	$1,156.82	$1,550.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $460.60 / $806.05 / $1,215.75	Facility		$460.60	$806.05	$1,215.75
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,639.31 / $1,639.31 / $1,639.31	Facility	54	$1,639.31	$1,639.31	$1,639.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.73 / $1,070.25 / $3,747.28	Professional		$634.73	$1,070.25	$3,747.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $1,124.21 / $1,550.89	Facility		$214.08	$1,124.21	$1,550.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $878.11 / $1,125.90 / $1,550.89	Professional		$878.11	$1,125.90	$1,550.89
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 $634.73 / $1,070.25 / $1,367.10	Professional		$634.73	$1,070.25	$1,367.10