Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,241.22 / $9,544.15 / $20,928.72	Facility		$4,241.22	$9,544.15	$20,928.72
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $82.55 / $82.55 / $276.52	Facility	52	$82.55	$82.55	$276.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $553.05 / $958.90	Professional		$165.09	$553.05	$958.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $82.55 / $276.52 / $479.45	Professional	52	$82.55	$276.52	$479.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.18 / $4,352.47 / $8,419.09	Facility		$3,309.18	$4,352.47	$8,419.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $394.01 / $1,100.32	Professional		$173.37	$394.01	$1,100.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $661.47 / $1,750.77	Professional		$387.18	$661.47	$1,750.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.64 / $940.20 / $5,243.53	Facility		$247.64	$940.20	$5,243.53
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $644.26 / $644.26 / $644.26	Facility	52	$644.26	$644.26	$644.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.31 / $1,203.50 / $5,058.78	Professional		$767.31	$1,203.50	$5,058.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.56 / $1,083.95 / $3,216.33	Facility		$430.56	$1,083.95	$3,216.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $1,083.95 / $1,651.85	Professional		$387.18	$1,083.95	$1,651.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,441.00 / $8,816.00	Facility		$5,341.00	$7,441.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.31 / $1,198.72 / $1,462.02	Professional		$767.31	$1,198.72	$1,462.02