Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.37 / $4,241.22 / $13,841.56	Facility		$295.37	$4,241.22	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.73 / $202.73 / $221.53	Facility	54	$202.73	$202.73	$221.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $295.37 / $1,287.00	Professional		$259.72	$295.37	$1,287.00
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 $282.67 / $467.50 / $642.41	Professional		$282.67	$467.50	$642.41
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 $427.03 / $685.61 / $932.43	Professional		$427.03	$685.61	$932.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $487.36 / $767.59	Facility		$270.31	$487.36	$767.59
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 $381.13 / $644.97 / $2,202.23	Professional		$381.13	$644.97	$2,202.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $657.20 / $932.43	Facility		$214.08	$657.20	$932.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $657.20 / $905.17	Professional		$526.00	$657.20	$905.17
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 $381.13 / $635.58 / $820.90	Professional		$381.13	$635.58	$820.90