Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $100.00	Facility		$91.20	$91.20	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $190.55	Professional		$83.18	$91.20	$190.55
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 $162.18 / $173.78 / $181.97	Professional		$162.18	$173.78	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $181.97 / $288.40	Professional		$72.44	$181.97	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $398.11	Facility		$81.28	$154.88	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $645.65	Professional		$87.10	$138.04	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $323.59	Professional		$186.21	$204.17	$323.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $323.59	Professional		$112.20	$123.03	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $234.42 / $588.84	Facility		$20.42	$234.42	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $213.80	Professional		$87.10	$125.89	$213.80