Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $120.60 / $346.56	Facility		$25.01	$120.60	$346.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $16.95 / $17.63	Professional		$12.48	$16.95	$17.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $58.64 / $114.35	Facility		$44.95	$58.64	$114.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $34.90 / $37.67	Professional		$17.46	$34.90	$37.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $109.11 / $256.98	Facility		$13.78	$109.11	$256.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $64.45	Professional		$13.78	$13.78	$64.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $40.20 / $137.82	Facility		$27.56	$40.20	$137.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $38.54 / $50.34	Professional		$27.59	$38.54	$50.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.78 / $25.27	Professional		$13.09	$13.78	$25.27