Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $234.42	Facility		$100.00	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $263.03	Professional		$91.20	$109.65	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $478.63	Facility		$147.91	$213.80	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $204.17	Professional		$177.83	$194.98	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $602.56	Facility		$588.84	$588.84	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $323.59	Professional		$85.11	$199.53	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $204.17	Facility		$91.20	$169.82	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $691.83	Professional		$95.50	$154.88	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $363.08	Professional		$204.17	$229.09	$363.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $363.08	Professional		$114.82	$123.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $275.42	Facility		$34.67	$109.65	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $239.88	Professional		$97.72	$144.54	$239.88