Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $148.13 / $148.13	Facility		$148.13	$148.13	$148.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $148.13 / $148.13	Professional		$138.63	$148.13	$148.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.04 / $642.45 / $1,206.05	Facility		$474.04	$642.45	$1,206.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $202.44 / $207.50	Professional		$189.40	$202.44	$207.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $289.00 / $487.70	Professional		$128.47	$289.00	$487.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.16 / $227.35 / $378.11	Facility		$127.16	$227.35	$378.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $212.56 / $1,031.22	Professional		$117.19	$212.56	$1,031.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $232.72 / $491.22	Facility		$107.47	$232.72	$491.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $239.69 / $373.87	Professional		$119.55	$239.69	$373.87
United Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $201.93 / $287.23	Professional		$117.19	$201.93	$287.23