Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $20.68 / $22.15	Facility		$20.68	$20.68	$22.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Professional		$20.68	$20.68	$20.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $108.12 / $210.83	Facility		$82.87	$108.12	$210.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $47.61 / $51.38	Professional		$23.80	$47.61	$51.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $44.91 / $70.98	Professional		$35.93	$44.91	$70.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $37.22 / $148.82	Facility		$18.80	$37.22	$148.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $62.66	Professional		$18.80	$18.80	$62.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $57.30 / $70.11	Facility		$37.63	$57.30	$70.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $68.28 / $81.77	Professional		$37.63	$68.28	$81.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $18.80 / $34.46	Professional		$17.86	$18.80	$34.46