Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $64.09 / $64.09	Facility		$64.09	$64.09	$64.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $64.09 / $64.09	Professional		$64.09	$64.09	$64.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.44 / $97.91 / $189.39	Facility		$74.44	$97.91	$189.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $64.48 / $86.87	Professional		$38.22	$64.48	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $109.69 / $171.34	Professional		$78.62	$109.69	$171.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $96.14 / $336.07	Facility		$55.20	$96.14	$336.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $105.85 / $168.17	Professional		$64.25	$105.85	$168.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $112.63 / $153.19	Facility		$78.62	$112.63	$153.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $100.13 / $153.19	Professional		$78.62	$100.13	$153.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $105.85 / $140.83	Professional		$64.25	$105.85	$140.83