Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $22.57 / $34.19	Facility		$22.57	$22.57	$34.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $219.84	Professional		$22.57	$22.57	$219.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $63.23 / $123.28	Facility		$48.46	$63.23	$123.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $51.96 / $56.07	Professional		$25.98	$51.96	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $49.04 / $77.52	Professional		$25.15	$49.04	$77.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $42.88 / $162.40	Facility		$20.51	$42.88	$162.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $68.38	Professional		$20.51	$20.51	$68.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $66.75 / $137.91	Facility		$41.06	$66.75	$137.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $66.75 / $89.24	Professional		$41.06	$66.75	$89.24
United Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $42.07	Facility		$34.19	$34.19	$42.07
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.51 / $68.38	Professional		$19.48	$20.51	$68.38