Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $65.05 / $65.05	Facility		$65.05	$65.05	$65.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $65.05	Professional		$65.05	$65.05	$65.05
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 $69.34 / $116.98 / $157.59	Professional		$69.34	$116.98	$157.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $137.26 / $187.27	Professional		$85.32	$137.26	$187.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $110.59 / $4,406.00	Facility		$55.20	$110.59	$4,406.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $116.85 / $187.12	Professional		$70.42	$116.85	$187.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.32 / $130.77 / $170.57	Facility		$85.32	$130.77	$170.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $108.65 / $170.57	Professional		$85.32	$108.65	$170.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,054.00 / $4,317.00 / $13,909.00	Facility		$3,054.00	$4,317.00	$13,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $120.26 / $155.47	Professional		$70.42	$120.26	$155.47