Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $53.70 / $112.20	Facility		$28.84	$53.70	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $165.96	Professional		$30.20	$53.70	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $954.99	Facility		$371.54	$489.78	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $107.15	Professional		$36.31	$58.88	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $165.96	Professional		$54.95	$89.13	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $141.25	Facility		$30.20	$60.26	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $1,698.24	Professional		$60.26	$104.71	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $151.36	Professional		$67.61	$107.15	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $169.82	Professional		$67.61	$97.72	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $1,230.27 / $4,466.84	Facility		$35.48	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $131.83	Professional		$39.81	$70.79	$131.83