Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $165.96	Professional		$72.44	$81.28	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $741.31	Facility		$288.40	$363.08	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $158.49	Professional		$141.25	$151.36	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $251.19	Professional		$64.57	$158.49	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $134.90 / $295.12	Facility		$66.07	$134.90	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $575.44	Professional		$67.61	$117.49	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $281.84	Professional		$158.49	$177.83	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $281.84	Professional		$79.43	$85.11	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $181.97 / $457.09	Facility		$17.38	$181.97	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $186.21	Professional		$70.79	$112.20	$186.21