Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $3,908.01 / $13,841.56	Facility		$497.15	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $340.15 / $340.15 / $372.86	Facility	54	$340.15	$340.15	$372.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.87 / $497.15 / $1,372.84	Professional		$450.87	$497.15	$1,372.84
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 $475.76 / $780.49 / $1,081.30	Professional		$475.76	$780.49	$1,081.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.44 / $1,257.44 / $1,257.44	Facility		$1,257.44	$1,257.44	$1,257.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $1,129.70 / $1,557.23	Professional		$776.00	$1,129.70	$1,557.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $453.53 / $839.03 / $1,992.24	Facility		$453.53	$839.03	$1,992.24
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,610.71 / $1,610.71 / $1,610.71	Facility	54	$1,610.71	$1,610.71	$1,610.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.62 / $1,092.63 / $3,687.60	Professional		$647.62	$1,092.63	$3,687.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $1,217.47 / $1,597.29	Facility		$971.00	$1,217.47	$1,597.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $897.25 / $1,114.34 / $1,532.95	Professional		$897.25	$1,114.34	$1,532.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.62 / $1,071.07 / $1,394.88	Professional		$647.62	$1,071.07	$1,394.88