Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $29.28 / $91.73	Professional		$29.28	$29.28	$91.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.01 / $527.42 / $1,020.23	Facility		$401.01	$527.42	$1,020.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $70.95 / $72.73	Professional		$65.04	$70.95	$72.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $72.73 / $202.03	Professional		$15.75	$72.73	$202.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $51.24 / $158.34	Facility		$29.28	$51.24	$158.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $164.74 / $252.56	Professional		$75.22	$164.74	$252.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $94.26 / $208.09	Facility		$58.52	$94.26	$208.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $110.75 / $208.09	Professional		$58.52	$110.75	$208.09
United Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $186.15 / $252.56	Professional		$74.51	$186.15	$252.56