Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Facility		$63.10	$63.10	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $436.52	Professional		$63.10	$70.79	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,754.23 / $6,025.60	Facility		$549.54	$2,754.23	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $128.82	Professional		$114.82	$123.03	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $208.93	Professional		$128.82	$158.49	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $120.23 / $4,073.80	Facility		$63.10	$120.23	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $446.68	Professional		$77.62	$104.71	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $158.49	Professional		$128.82	$147.91	$158.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $158.49	Professional		$154.88	$154.88	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $3,311.31	Facility		$1,023.29	$1,737.80	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $169.82	Professional		$70.79	$125.89	$169.82