Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $217.21 / $603.60	Facility		$19.73	$217.21	$603.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $47.01 / $458.01	Professional		$47.01	$47.01	$458.01
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 $54.13 / $108.27 / $116.81	Professional		$54.13	$108.27	$116.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $102.22 / $161.57	Professional		$64.11	$102.22	$161.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $103.90 / $338.34	Facility		$42.74	$103.90	$338.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.74 / $142.46	Professional		$42.00	$42.74	$142.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $92.98 / $146.72	Facility		$24.62	$92.98	$146.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $119.53 / $181.64	Professional		$71.23	$119.53	$181.64
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $42.74 / $142.46	Professional		$40.60	$42.74	$142.46