Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.98 / $3,908.01 / $13,841.56	Facility		$289.98	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $204.03 / $204.03 / $217.49	Facility	54	$204.03	$204.03	$217.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.04 / $331.56 / $1,382.48	Professional		$272.04	$331.56	$1,382.48
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 $277.50 / $471.17 / $630.71	Professional		$277.50	$471.17	$630.71
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 $558.00 / $666.75 / $909.36	Professional		$558.00	$666.75	$909.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.04 / $492.97 / $917.02	Facility		$272.04	$492.97	$917.02
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $970.65 / $970.65 / $970.65	Facility	54	$970.65	$970.65	$970.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.22 / $622.87 / $2,219.04	Professional		$367.22	$622.87	$2,219.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $666.65 / $909.36	Facility		$214.08	$666.65	$909.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $546.71 / $683.42 / $893.86	Professional		$546.71	$683.42	$893.86
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 $367.22 / $627.11 / $790.94	Professional		$367.22	$627.11	$790.94