Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $3,908.01 / $13,841.56	Facility		$115.10	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $735.00 / $735.00 / $735.00	Facility	52	$735.00	$735.00	$735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $115.10 / $493.84	Professional		$77.73	$115.10	$493.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.55 / $947.72 / $1,833.19	Facility		$720.55	$947.72	$1,833.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $180.37 / $240.84	Professional		$105.81	$180.37	$240.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.18 / $125.18 / $125.18	Facility		$125.18	$125.18	$125.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.92 / $250.09 / $369.10	Professional		$170.92	$250.09	$369.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.59 / $185.76 / $367.48	Facility		$103.59	$185.76	$367.48
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $415.40 / $415.40 / $415.40	Facility	52	$415.40	$415.40	$415.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $224.77 / $817.04	Professional		$142.00	$224.77	$817.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.35 / $228.92 / $343.07	Facility		$134.35	$228.92	$343.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $237.27 / $338.78	Professional		$175.67	$237.27	$338.78
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 $142.00 / $242.49 / $297.30	Professional		$142.00	$242.49	$297.30