Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $40.96 / $40.96	Facility		$40.96	$40.96	$40.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $40.96 / $42.37	Professional		$36.75	$40.96	$42.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.15 / $864.58 / $1,355.27	Facility		$668.15	$864.58	$1,355.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $150.44 / $206.38	Professional		$90.81	$150.44	$206.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $79.06 / $100.99	Professional		$15.38	$79.06	$100.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $69.63 / $123.81	Facility		$39.35	$69.63	$123.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $179.01 / $280.19	Professional		$146.88	$179.01	$280.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $72.03 / $81.27	Facility		$53.00	$72.03	$81.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $68.28 / $100.99	Professional		$53.00	$68.28	$100.99
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $199.39 / $230.19	Professional		$146.88	$199.39	$230.19