Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.67 / $109.67 / $109.67	Facility		$109.67	$109.67	$109.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $109.67 / $109.67	Professional		$101.93	$109.67	$109.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.33 / $392.13 / $736.13	Facility		$289.33	$392.13	$736.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $227.97 / $233.68	Professional		$213.28	$227.97	$233.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $206.90 / $344.16	Professional		$91.03	$206.90	$344.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $152.69 / $239.57	Facility		$101.93	$152.69	$239.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $304.27 / $793.56	Professional		$147.66	$304.27	$793.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $198.55 / $355.36	Facility		$102.46	$198.55	$355.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $198.55 / $303.33	Professional		$107.39	$198.55	$303.33
United Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $304.27 / $390.10	Professional		$168.54	$304.27	$390.10