Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $69.11 / $97.57	Facility		$69.11	$69.11	$97.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $97.57 / $404.43	Professional		$69.11	$97.57	$404.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $892.29 / $1,725.99	Facility		$678.41	$892.29	$1,725.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $134.03 / $200.72	Professional		$73.03	$134.03	$200.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.85 / $86.85 / $86.85	Facility		$86.85	$86.85	$86.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $205.98 / $308.72	Professional		$127.79	$205.98	$308.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $149.02 / $330.60	Facility		$79.48	$149.02	$330.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $192.25 / $561.76	Professional		$128.16	$192.25	$561.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.54 / $186.39 / $288.24	Facility		$95.54	$186.39	$288.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $191.75 / $285.06	Professional		$144.78	$191.75	$285.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,527.00 / $4,317.00	Facility		$1,056.00	$1,527.00	$4,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $217.97 / $252.02	Professional		$128.16	$217.97	$252.02