Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $105.57 / $113.09	Facility		$105.57	$105.57	$113.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $105.57 / $105.57	Professional		$105.57	$105.57	$105.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.43 / $294.13 / $573.54	Facility		$225.43	$294.13	$573.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $243.12 / $262.31	Professional		$121.56	$243.12	$262.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $290.50 / $363.12	Professional		$183.79	$290.50	$363.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.97 / $200.58 / $759.76	Facility		$95.97	$200.58	$759.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $95.97 / $319.89	Professional		$95.97	$95.97	$319.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.94 / $223.93 / $329.50	Facility		$191.94	$223.93	$329.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $219.13 / $350.55	Professional		$191.94	$219.13	$350.55
United Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $95.97 / $319.89	Professional		$91.17	$95.97	$319.89