Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.09 / $3,908.01 / $13,841.56	Facility		$133.09	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $87.98 / $87.98 / $99.82	Facility	54	$87.98	$87.98	$99.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $152.33 / $604.00	Professional		$117.31	$152.33	$604.00
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 $124.48 / $211.22 / $282.94	Professional		$124.48	$211.22	$282.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $151.86 / $151.86	Facility		$151.86	$151.86	$151.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.57 / $303.07 / $416.33	Professional		$186.57	$303.07	$416.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $219.60 / $353.33	Facility		$119.78	$219.60	$353.33
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $416.44 / $416.44 / $416.44	Facility	54	$416.44	$416.44	$416.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $294.83 / $955.84	Professional		$173.82	$294.83	$955.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.05 / $286.02 / $386.72	Facility		$167.05	$286.02	$386.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $290.14 / $384.82	Professional		$221.08	$290.14	$384.82
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 $173.82 / $287.48 / $374.39	Professional		$173.82	$287.48	$374.39