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 $16.00 / $96.03 / $112.92	Professional		$16.00	$96.03	$112.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.20 / $489.64 / $583.78	Facility		$416.20	$489.64	$583.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $15.28 / $101.13	Professional		$8.65	$15.28	$101.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $191.33 / $260.55	Professional		$22.93	$191.33	$260.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $96.03 / $168.05	Facility		$8.44	$96.03	$168.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $198.62 / $659.14	Professional		$158.90	$198.62	$659.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $191.33 / $260.55	Facility		$35.11	$191.33	$260.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $151.31 / $237.77	Professional		$22.93	$151.31	$237.77
United Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $198.62 / $251.98	Professional		$158.90	$198.62	$251.98