Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $81.48	Facility		$81.48	$81.48	$81.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $81.48 / $81.48	Professional		$81.02	$81.48	$81.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.34 / $890.87 / $1,672.38	Facility		$657.34	$890.87	$1,672.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $148.03 / $200.56	Professional		$88.25	$148.03	$200.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $216.99 / $481.88	Professional		$174.61	$216.99	$481.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $135.58 / $425.37	Facility		$81.02	$135.58	$425.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $156.90 / $522.04	Professional		$96.55	$156.90	$522.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.56 / $174.61 / $481.88	Facility		$119.56	$174.61	$481.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $174.61 / $481.88	Professional		$119.56	$174.61	$481.88
United Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $156.90 / $197.37	Professional		$96.55	$156.90	$197.37