Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $57.80 / $59.42	Facility		$57.80	$57.80	$59.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $57.80 / $327.30	Professional		$55.97	$57.80	$327.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $198.92 / $373.43	Facility		$146.78	$198.92	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $114.62 / $117.48	Professional		$107.23	$114.62	$117.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.22 / $338.22 / $338.22	Facility		$338.22	$338.22	$338.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $127.61 / $179.38	Professional		$57.45	$127.61	$179.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $101.15 / $342.77	Facility		$57.80	$101.15	$342.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $103.00 / $397.13	Professional		$63.38	$103.00	$397.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $130.94 / $184.24	Facility		$94.21	$130.94	$184.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $117.52 / $153.72	Professional		$79.00	$117.52	$153.72
United Facility/Professional Facility Modifier Low / Median / High Price $487.72 / $1,110.33 / $1,233.70	Facility		$487.72	$1,110.33	$1,233.70
United Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $103.00 / $129.57	Professional		$63.38	$103.00	$129.57