Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $3,908.01 / $13,841.56	Facility		$154.44	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $101.21 / $101.21 / $115.83	Facility	54	$101.21	$101.21	$115.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $154.44 / $761.74	Professional		$131.94	$154.44	$761.74
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 $144.59 / $245.59 / $328.61	Professional		$144.59	$245.59	$328.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.97 / $164.97 / $164.97	Facility		$164.97	$164.97	$164.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $367.08 / $474.89	Professional		$225.00	$367.08	$474.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $254.56 / $384.30	Facility		$138.16	$254.56	$384.30
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $474.73 / $474.73 / $474.73	Facility	54	$474.73	$474.73	$474.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $333.01 / $1,105.20	Professional		$200.49	$333.01	$1,105.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.08 / $326.05 / $446.77	Facility		$182.08	$326.05	$446.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $247.65 / $329.21 / $441.46	Professional		$247.65	$329.21	$441.46
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 $200.49 / $331.57 / $431.82	Professional		$200.49	$331.57	$431.82