Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,801.89 / $12,589.25	Facility		$173.78	$3,801.89	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $389.05	Professional		$67.61	$93.33	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,162.28	Facility		$1,230.27	$1,621.81	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $162.18	Professional		$69.18	$120.23	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $251.19	Professional		$158.49	$194.98	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $138.04 / $1,230.27	Facility		$67.61	$138.04	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $588.84	Professional		$117.49	$165.96	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $245.47	Professional		$165.96	$194.98	$245.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $223.87	Professional		$158.49	$190.55	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,230.27 / $4,466.84	Facility		$398.11	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $204.17	Professional		$95.50	$147.91	$204.17