Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $181.97	Professional		$138.04	$147.91	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,202.26	Facility		$467.74	$616.60	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $208.93	Professional		$190.55	$194.98	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $288.40 / $512.86	Professional		$125.89	$288.40	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $239.88 / $436.52	Facility		$125.89	$239.88	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $1,023.29	Professional		$117.49	$199.53	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $338.84	Professional		$234.42	$234.42	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $295.12	Professional		$288.40	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $165.96	Facility		$61.66	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $309.03	Professional		$117.49	$194.98	$309.03