Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.89 / $7,782.53 / $20,928.72	Facility		$112.89	$7,782.53	$20,928.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $598.40 / $598.40 / $598.40	Facility	50	$598.40	$598.40	$598.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $153.59 / $643.12	Professional		$112.89	$153.59	$643.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,231.10 / $1,606.29 / $3,132.14	Facility		$1,231.10	$1,606.29	$3,132.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $196.18 / $263.16	Professional		$115.79	$196.18	$263.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $119.36 / $119.36	Facility		$119.36	$119.36	$119.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $297.64 / $388.58	Professional		$252.72	$297.64	$388.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $219.75 / $1,242.00	Facility		$126.19	$219.75	$1,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $271.13 / $353.27	Professional		$179.24	$271.13	$353.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.52 / $266.38 / $361.50	Facility		$134.52	$266.38	$361.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.76 / $283.27 / $368.72	Professional		$208.76	$283.27	$368.72
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 $200.24 / $281.72 / $352.41	Professional		$200.24	$281.72	$352.41