Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $78.59 / $213.29	Facility		$14.25	$78.59	$213.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $14.11 / $129.56	Professional		$13.30	$14.11	$129.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.40 / $121.87 / $237.64	Facility		$93.40	$121.87	$237.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $30.62 / $33.04	Professional		$15.31	$30.62	$33.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $28.91 / $45.70	Professional		$22.65	$28.91	$45.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $25.27 / $95.71	Facility		$12.09	$25.27	$95.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $40.29	Professional		$12.09	$12.09	$40.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $37.68 / $52.97	Facility		$22.65	$37.68	$52.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $41.10 / $53.28	Professional		$24.20	$41.10	$53.28
United Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $12.09 / $22.17	Professional		$11.49	$12.09	$22.17