Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.00 / $5,463.36 / $13,841.56	Facility		$1,545.00	$5,463.36	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $575.15 / $575.15 / $575.15	Facility	54	$575.15	$575.15	$575.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.87 / $894.24 / $4,173.74	Professional		$766.87	$894.24	$4,173.74
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $115.03 / $190.41 / $626.05	Professional	55	$115.03	$190.41	$626.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,102.00 / $4,047.33 / $7,892.00	Facility		$3,102.00	$4,047.33	$7,892.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.45 / $1,258.72 / $1,678.30	Professional		$738.45	$1,258.72	$1,678.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.50 / $3,141.50 / $3,141.50	Facility		$3,141.50	$3,141.50	$3,141.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.99 / $1,884.64 / $2,355.80	Professional		$1,602.99	$1,884.64	$2,355.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $770.54 / $1,581.13 / $7,934.00	Facility		$770.54	$1,581.13	$7,934.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $7,881.75 / $7,881.75 / $7,881.75	Facility	54	$7,881.75	$7,881.75	$7,881.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,043.34 / $1,562.16 / $2,081.16	Professional		$1,043.34	$1,562.16	$2,081.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $883.88 / $2,033.27 / $4,133.42	Facility		$883.88	$2,033.27	$4,133.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,145.50 / $1,602.99 / $2,191.81	Professional		$1,145.50	$1,602.99	$2,191.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.54 / $1,715.45 / $2,035.46	Professional		$1,182.54	$1,715.45	$2,035.46