Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $436.52	Facility		$100.00	$151.36	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $331.13	Professional		$33.11	$38.02	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $281.84	Facility		$102.33	$134.90	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $83.18	Professional		$40.74	$77.62	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $120.23	Professional		$57.54	$95.50	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $63.10 / $239.88	Facility		$30.20	$63.10	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $54.95	Professional		$22.91	$30.20	$54.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $128.82	Professional		$64.57	$104.71	$128.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $93.33	Facility		$22.91	$45.71	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $54.95	Professional		$28.84	$30.20	$54.95