Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $3,908.01 / $13,841.56	Facility		$84.30	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,124.06 / $1,320.73 / $1,320.73	Facility	50	$1,124.06	$1,320.73	$1,320.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $84.30 / $276.39	Professional		$48.10	$84.30	$276.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.60 / $200.00 / $403.76	Professional	50	$120.60	$200.00	$403.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,507.81 / $1,983.18 / $3,836.12	Facility		$1,507.81	$1,983.18	$3,836.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $98.18 / $172.88	Professional		$50.82	$98.18	$172.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $158.51 / $254.58	Professional		$93.54	$158.51	$254.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $111.07 / $199.19	Facility		$55.32	$111.07	$199.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $182.41 / $387.28	Professional		$109.50	$182.41	$387.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $170.32 / $254.58	Facility		$111.35	$170.32	$254.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $160.91 / $254.58	Professional		$108.06	$160.91	$254.58
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 $109.50 / $186.99 / $235.82	Professional		$109.50	$186.99	$235.82