Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $96.03 / $96.03	Facility		$96.03	$96.03	$96.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $96.03 / $112.92	Professional		$37.11	$96.03	$112.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.56 / $528.90 / $630.58	Facility		$449.56	$528.90	$630.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $34.85 / $101.13	Professional		$20.03	$34.85	$101.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $203.63 / $260.55	Professional		$52.90	$203.63	$260.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $96.03 / $168.05	Facility		$19.20	$96.03	$168.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $202.39 / $659.14	Professional		$158.90	$202.39	$659.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $203.63 / $260.55	Facility		$81.52	$203.63	$260.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $151.31 / $253.06	Professional		$52.90	$151.31	$253.06
United Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $198.62 / $260.33	Professional		$163.86	$198.62	$260.33