Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.41 / $3,908.01 / $13,841.56	Facility		$291.41	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.92 / $200.92 / $218.56	Facility	54	$200.92	$200.92	$218.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $291.41 / $1,371.28	Professional		$250.28	$291.41	$1,371.28
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 $278.88 / $463.95 / $633.82	Professional		$278.88	$463.95	$633.82
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 $404.56 / $674.87 / $904.73	Professional		$404.56	$674.87	$904.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.89 / $480.83 / $725.81	Facility		$267.89	$480.83	$725.81
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $956.89 / $956.89	Facility	54	$956.89	$956.89	$956.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.66 / $622.39 / $2,186.08	Professional		$371.66	$622.39	$2,186.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $646.00 / $904.73	Facility		$214.08	$646.00	$904.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $657.20 / $895.80	Professional		$492.00	$657.20	$895.80
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 $371.66 / $634.67 / $800.49	Professional		$371.66	$634.67	$800.49