Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $20.86 / $22.35	Facility		$20.86	$20.86	$22.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $20.86	Professional		$20.86	$20.86	$20.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.65 / $179.60 / $350.20	Facility		$137.65	$179.60	$350.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $48.03 / $51.82	Professional		$24.02	$48.03	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $57.45 / $71.81	Professional		$36.34	$57.45	$71.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $39.63 / $150.10	Facility		$18.96	$39.63	$150.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $63.20	Professional		$18.96	$18.96	$63.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $44.24 / $65.09	Facility		$37.92	$44.24	$65.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $43.29 / $69.26	Professional		$37.92	$43.29	$69.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.96 / $34.76	Professional		$18.01	$18.96	$34.76