Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $7,762.47 / $13,489.63	Facility		$223.87	$7,762.47	$13,489.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	50	$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $691.83	Professional		$125.89	$147.91	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,162.28	Facility		$1,230.27	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $263.03	Professional		$114.82	$194.98	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $398.11	Professional		$251.19	$302.00	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $1,230.27	Facility		$114.82	$218.78	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $912.01	Professional		$177.83	$269.15	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $398.11	Professional		$281.84	$302.00	$398.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $371.54	Professional		$269.15	$295.12	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,230.27 / $4,466.84	Facility		$398.11	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $323.59	Professional		$158.49	$245.47	$323.59