Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.22 / $3,908.01 / $13,841.56	Facility		$205.22	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $144.63 / $144.63 / $153.91	Facility	54	$144.63	$144.63	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $205.22 / $946.00	Professional		$178.40	$205.22	$946.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $144.63 / $153.91 / $817.59	Professional	54	$144.63	$153.91	$817.59
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 $196.69 / $334.76 / $447.00	Professional		$196.69	$334.76	$447.00
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 $305.58 / $488.28 / $654.44	Professional		$305.58	$488.28	$654.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.84 / $347.11 / $607.14	Facility		$192.84	$347.11	$607.14
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $681.37 / $681.37 / $681.37	Facility	54	$681.37	$681.37	$681.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $452.44 / $1,574.88	Professional		$266.75	$452.44	$1,574.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $467.98 / $638.20	Facility		$212.73	$467.98	$638.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.01 / $468.47 / $638.20	Professional		$366.01	$468.47	$638.20
United Facility/Professional Facility Modifier Low / Median / High Price $298.62 / $407.62 / $4,317.00	Facility		$298.62	$407.62	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $455.52 / $574.53	Professional		$266.75	$455.52	$574.53