Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.74 / $375.00 / $443.74	Facility		$200.74	$375.00	$443.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $200.74 / $207.70	Professional		$200.74	$200.74	$207.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.33 / $676.72 / $1,270.36	Facility		$499.33	$676.72	$1,270.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $103.12 / $105.70	Professional		$96.48	$103.12	$105.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $409.05 / $526.13	Professional		$135.41	$409.05	$526.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.67 / $334.03 / $1,033.95	Facility		$180.67	$334.03	$1,033.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $425.57 / $1,219.09	Professional		$235.10	$425.57	$1,219.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $423.37 / $526.13	Facility		$135.41	$423.37	$526.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $423.37 / $526.13	Professional		$193.97	$423.37	$526.13
United Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $391.46 / $488.02	Professional		$235.10	$391.46	$488.02