Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $275.69 / $748.16	Facility		$45.87	$275.69	$748.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $42.82 / $417.18	Professional		$42.82	$42.82	$417.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $133.78 / $260.86	Facility		$102.53	$133.78	$260.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $98.62 / $106.40	Professional		$49.29	$98.62	$106.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $93.44 / $147.69	Professional		$74.75	$93.44	$147.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $129.21 / $310.17	Facility		$38.93	$129.21	$310.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $38.93 / $164.00	Professional		$38.93	$38.93	$164.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $111.25 / $203.40	Facility		$77.92	$111.25	$203.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $143.00 / $186.90	Professional		$77.92	$143.00	$186.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $38.93 / $129.76	Professional		$36.97	$38.93	$129.76