Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $363.08 / $676.08	Facility		$97.72	$363.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $912.01	Professional		$89.13	$104.71	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $436.52 / $851.14	Facility		$338.84	$436.52	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $223.87	Professional		$199.53	$213.80	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $263.03 / $331.13	Professional		$83.18	$263.03	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $645.65	Facility		$81.28	$173.78	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $398.11	Professional		$57.54	$81.28	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $346.74	Professional		$281.84	$346.74	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $275.42	Facility		$57.54	$128.82	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $138.04	Professional		$77.62	$81.28	$138.04