Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $47.86	Professional		$30.20	$39.81	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,659.59	Facility		$660.69	$851.14	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $204.17	Professional		$89.13	$147.91	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $87.10	Professional		$15.49	$19.05	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $69.18 / $162.18	Facility		$38.90	$69.18	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $281.84	Professional		$109.65	$177.83	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $100.00	Professional		$52.48	$61.66	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $87.10	Professional		$52.48	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $91.20	Facility		$29.51	$50.12	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $177.83 / $239.88	Professional		$56.23	$177.83	$239.88