Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $19.16	Facility		$17.89	$17.89	$19.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Professional		$17.89	$17.89	$17.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $75.14 / $146.51	Facility		$57.59	$75.14	$146.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $41.21 / $44.46	Professional		$20.60	$41.21	$44.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $39.24 / $62.02	Professional		$31.39	$39.24	$62.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $32.20 / $128.77	Facility		$16.27	$32.20	$128.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $54.22	Professional		$16.27	$16.27	$54.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $52.04 / $77.59	Facility		$32.56	$52.04	$77.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $53.34 / $70.76	Professional		$32.56	$53.34	$70.76
United Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $24.40 / $27.11	Facility		$12.20	$24.40	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $16.27 / $54.22	Professional		$15.45	$16.27	$54.22