Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $63.36 / $63.36	Facility		$63.36	$63.36	$63.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $63.36 / $63.36	Professional		$30.10	$63.36	$63.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $198.92 / $373.43	Facility		$146.78	$198.92	$373.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $178.44 / $187.84	Professional		$164.52	$178.44	$187.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.82 / $368.82 / $368.82	Facility		$368.82	$368.82	$368.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $157.36 / $337.43	Professional		$78.84	$157.36	$337.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $131.44 / $505.65	Facility		$73.27	$131.44	$505.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $620.54 / $620.54	Professional		$213.49	$620.54	$620.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $168.79 / $239.16	Facility		$126.63	$168.79	$239.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $168.79 / $255.85	Professional		$126.63	$168.79	$255.85