Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.71 / $3,588.88 / $12,765.09	Facility		$229.71	$3,588.88	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,078.00 / $3,078.00 / $4,464.60	Facility	50	$3,078.00	$3,078.00	$4,464.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $228.48 / $622.75	Professional		$109.98	$228.48	$622.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $432.45 / $432.45 / $432.45	Professional	50	$432.45	$432.45	$432.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,973.60 / $6,541.64 / $12,653.65	Facility		$4,973.60	$6,541.64	$12,653.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $239.21 / $470.85	Professional		$116.97	$239.21	$470.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.21 / $255.21 / $255.21	Facility		$255.21	$255.21	$255.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.60 / $362.90 / $578.87	Professional		$213.60	$362.90	$578.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $287.14 / $840.47	Facility		$126.48	$287.14	$840.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.87 / $429.03 / $1,831.00	Professional		$279.87	$429.03	$1,831.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $315.76 / $576.41	Facility		$218.94	$315.76	$576.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $312.22 / $576.41	Professional		$201.38	$312.22	$576.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $518.77 / $593.34	Professional		$286.61	$518.77	$593.34