Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $28.84	Professional		$15.14	$23.99	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,621.81	Facility		$645.65	$831.76	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $51.29	Professional		$22.39	$38.02	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $128.82	Professional		$47.86	$56.23	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $36.31 / $114.82	Facility		$21.38	$36.31	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $154.88	Professional		$31.62	$45.71	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $128.82	Professional		$28.84	$47.86	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $58.88	Professional		$28.84	$56.23	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $13,803.84	Facility		$3,235.94	$4,570.88	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $58.88	Professional		$25.70	$42.66	$58.88