Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.54 / $3,398.27 / $12,765.09	Facility		$120.54	$3,398.27	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,088.52 / $3,043.59 / $3,262.68	Facility	50	$1,088.52	$3,043.59	$3,262.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $120.54 / $499.86	Professional		$93.93	$120.54	$499.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.41 / $362.87 / $783.00	Professional	50	$90.41	$362.87	$783.00
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 $100.78 / $177.80 / $249.94	Professional		$100.78	$177.80	$249.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $103.83 / $103.83	Facility		$103.83	$103.83	$103.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $256.50 / $377.86	Professional		$169.00	$256.50	$377.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $180.53 / $437.00	Facility		$108.49	$180.53	$437.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $188.16 / $356.21 / $862.40	Facility	50	$188.16	$356.21	$862.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $242.67 / $784.00	Professional		$155.21	$242.67	$784.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.62 / $249.05 / $363.50	Facility		$115.62	$249.05	$363.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $286.31 / $363.50	Professional		$199.80	$286.31	$363.50
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 $155.21 / $242.67 / $316.19	Professional		$155.21	$242.67	$316.19