Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $218.78	Facility		$53.70	$74.13	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $177.83	Professional		$16.98	$19.95	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $239.88	Facility		$66.07	$104.71	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $44.67	Professional		$21.88	$41.69	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $52.48 / $66.07	Professional		$21.88	$52.48	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $128.82	Facility		$16.22	$32.36	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $29.51	Professional		$11.48	$16.22	$29.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $56.23 / $69.18	Professional		$21.88	$56.23	$69.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $40.74	Facility		$12.30	$24.55	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $29.51	Professional		$14.79	$16.22	$29.51