Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.78 / $6,180.43 / $6,180.43	Facility		$103.78	$6,180.43	$6,180.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $103.78 / $103.78	Professional		$103.78	$103.78	$103.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,455.14 / $1,913.91 / $3,702.11	Facility		$1,455.14	$1,913.91	$3,702.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $225.06 / $303.12	Professional		$133.37	$225.06	$303.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $164.83 / $257.82	Professional		$39.00	$164.83	$257.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.78 / $181.62 / $4,317.00	Facility		$103.78	$181.62	$4,317.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.95 / $452.93 / $671.26	Professional		$301.95	$452.93	$671.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.83 / $207.46 / $214.81	Facility		$164.83	$207.46	$214.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $207.46 / $214.81	Professional		$164.83	$207.46	$214.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.95 / $464.54 / $575.33	Professional		$301.95	$464.54	$575.33