Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $23.16 / $24.81	Facility		$23.16	$23.16	$24.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $104.38 / $201.90	Facility		$79.36	$104.38	$201.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $55.78 / $57.54	Professional		$50.67	$55.78	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $63.32 / $79.15	Professional		$42.11	$63.32	$79.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $44.00 / $166.68	Facility		$21.05	$44.00	$166.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $101.41	Professional		$21.05	$21.05	$101.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $69.05 / $97.58	Facility		$42.11	$69.05	$97.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $69.05 / $89.83	Professional		$42.11	$69.05	$89.83
United Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $14.74 / $21.05	Facility		$12.63	$14.74	$21.05
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.05 / $31.58	Professional		$20.00	$21.05	$31.58