Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $18.64	Facility		$12.30	$12.30	$18.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $13.58	Professional		$12.30	$12.30	$13.58
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 $14.16 / $28.32 / $30.57	Professional		$14.16	$28.32	$30.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $26.85 / $42.43	Professional		$13.76	$26.85	$42.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $22.14 / $88.54	Facility		$11.18	$22.14	$88.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $37.28	Professional		$11.18	$11.18	$37.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $34.09 / $111.84	Facility		$22.37	$34.09	$111.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.01 / $48.65	Professional		$22.39	$38.01	$48.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.18 / $37.28	Professional		$10.62	$11.18	$37.28