Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.40 / $173.40 / $185.75	Facility		$173.40	$173.40	$185.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $173.40 / $173.40	Professional		$173.40	$173.40	$173.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $104.38 / $201.90	Facility		$79.36	$104.38	$201.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.36 / $415.38 / $430.86	Professional		$379.36	$415.38	$430.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.20 / $596.50 / $672.56	Professional		$477.20	$596.50	$672.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.58 / $173.40 / $1,247.92	Facility		$94.58	$173.40	$1,247.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $157.63 / $759.26	Professional		$157.63	$157.63	$759.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.26 / $541.20 / $672.56	Facility		$315.26	$541.20	$672.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $541.20 / $722.60	Professional		$315.26	$541.20	$722.60
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $157.63 / $512.29	Professional		$110.34	$157.63	$512.29