Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $192.08 / $408.28	Facility		$23.99	$192.08	$408.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $22.40 / $218.23	Professional		$22.40	$22.40	$218.23
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 $25.78 / $51.59 / $55.65	Professional		$25.78	$51.59	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $49.04 / $77.52	Professional		$39.24	$49.04	$77.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $67.51 / $175.00	Facility		$20.36	$67.51	$175.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $20.36 / $85.00	Professional		$16.82	$20.36	$85.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $69.14 / $106.40	Facility		$41.57	$69.14	$106.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $75.00 / $97.78	Professional		$40.76	$75.00	$97.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $20.36 / $67.88	Professional		$15.27	$20.36	$67.88