Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $62.83 / $62.83	Facility		$62.83	$62.83	$62.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $62.83 / $71.31	Professional		$56.68	$62.83	$71.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.66 / $117.31 / $183.89	Facility		$90.66	$117.31	$183.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $106.06 / $145.49	Professional		$64.01	$106.06	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $147.61 / $165.04	Professional		$90.23	$147.61	$165.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $103.67 / $194.76	Facility		$62.83	$103.67	$194.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $126.18 / $432.44	Professional		$80.89	$126.18	$432.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $132.81 / $147.61	Facility		$90.23	$132.81	$147.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $114.90 / $165.04	Professional		$90.23	$114.90	$165.04
United Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $126.18 / $160.72	Professional		$80.89	$126.18	$160.72