Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $223.87	Professional		$102.33	$109.65	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $741.31	Facility		$288.40	$389.05	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $218.78	Professional		$190.55	$208.93	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $338.84	Professional		$85.11	$213.80	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $186.21 / $398.11	Facility		$97.72	$186.21	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $776.25	Professional		$107.15	$169.82	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $380.19	Professional		$218.78	$239.88	$380.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $380.19	Professional		$158.49	$158.49	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $234.42 / $588.84	Facility		$20.89	$234.42	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $251.19	Professional		$107.15	$154.88	$251.19