Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $57.74 / $57.74	Facility		$57.74	$57.74	$57.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $53.90 / $53.90	Professional		$53.90	$53.90	$53.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.01 / $543.47 / $1,020.23	Facility		$401.01	$543.47	$1,020.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $62.20 / $63.75	Professional		$58.18	$62.20	$63.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.90 / $89.69 / $2,489.36	Facility		$53.90	$89.69	$2,489.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $114.82 / $372.64	Professional		$74.63	$114.82	$372.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $114.64 / $150.77	Facility		$77.28	$114.64	$150.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $98.41 / $150.77	Professional		$77.28	$98.41	$150.77
United Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $118.48 / $142.19	Professional		$64.59	$118.48	$142.19