Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.19 / $79.19 / $79.19	Facility		$79.19	$79.19	$79.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $440.74 / $859.42	Facility		$337.80	$440.74	$859.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $170.27 / $183.71	Professional		$85.14	$170.27	$183.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $203.02 / $253.78	Professional		$128.44	$203.02	$253.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $133.07 / $532.10	Facility		$67.20	$133.07	$532.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $224.04	Professional		$67.20	$67.20	$224.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $170.27 / $230.76	Facility		$134.41	$170.27	$230.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $170.27 / $245.50	Professional		$134.41	$170.27	$245.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $67.20 / $224.04	Professional		$63.85	$67.20	$224.04