Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $30.98	Facility		$30.98	$30.98	$30.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.98 / $37.13	Professional		$15.60	$30.98	$37.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.20 / $489.64 / $583.78	Facility		$416.20	$489.64	$583.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $105.91 / $142.31	Professional		$62.60	$105.91	$142.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $52.90 / $76.98	Professional		$23.25	$52.90	$76.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $52.62 / $82.97	Facility		$30.48	$52.62	$82.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $136.16 / $199.18	Professional		$108.93	$136.16	$199.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $52.90 / $68.87	Facility		$41.55	$52.90	$68.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $52.90 / $76.98	Professional		$41.55	$52.90	$76.98
United Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $138.74 / $178.46	Professional		$108.93	$138.74	$178.46