Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $64.57	Professional		$42.66	$53.70	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $812.83	Facility		$323.59	$416.87	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $41.69	Professional		$18.62	$30.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $131.83	Professional		$48.98	$91.20	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $151.36	Facility		$52.48	$89.13	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $338.84	Professional		$81.28	$104.71	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $131.83	Professional		$48.98	$70.79	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $125.89 / $125.89	Professional		$50.12	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $117.49 / $162.18	Facility		$19.05	$117.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $138.04	Professional		$72.44	$104.71	$138.04