Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $275.42	Professional		$204.17	$218.78	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $741.31	Facility		$288.40	$380.19	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $199.53	Professional		$181.97	$190.55	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $141.25 / $281.84	Professional		$64.57	$141.25	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $204.17 / $436.52	Facility		$69.18	$204.17	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $316.23 / $562.34	Professional		$95.50	$316.23	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $549.54	Professional		$223.87	$223.87	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $208.93	Professional		$158.49	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $234.42 / $436.52	Facility		$57.54	$234.42	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $302.00 / $562.34	Professional		$97.72	$302.00	$562.34