Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $56.23 / $165.96	Facility		$27.54	$56.23	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $123.03	Professional		$12.02	$15.49	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $190.55	Facility		$57.54	$104.71	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.18 / $30.90	Professional		$14.79	$28.18	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.92 / $44.67	Professional		$13.49	$26.92	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $27.54 / $269.15	Facility		$12.30	$27.54	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $20.42	Professional		$7.76	$11.22	$20.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $38.02 / $47.86	Professional		$16.60	$38.02	$47.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.60 / $28.18	Facility		$8.32	$16.60	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.22 / $20.42	Professional		$10.47	$11.22	$20.42