Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $4,073.80 / $12,589.25	Facility		$269.15	$4,073.80	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $562.34	Professional		$104.71	$190.55	$562.34
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $114.82 / $114.82 / $229.09	Professional	54	$114.82	$114.82	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $8,511.38	Facility		$3,388.44	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $257.04	Professional		$112.20	$186.21	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $371.54	Professional		$128.82	$275.42	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $467.74	Facility		$114.82	$194.98	$467.74
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $229.09 / $398.11 / $398.11	Facility	54	$229.09	$398.11	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $933.25	Professional		$125.89	$229.09	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $281.84 / $371.54	Professional		$275.42	$281.84	$371.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $371.54	Professional		$281.84	$331.13	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,230.27 / $4,466.84	Facility		$309.03	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $302.00	Professional		$134.90	$204.17	$302.00