Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $139.71 / $245.64	Facility		$14.44	$139.71	$245.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.48 / $131.30	Professional		$13.48	$13.48	$131.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $113.62 / $221.56	Facility		$87.08	$113.62	$221.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $31.03 / $33.49	Professional		$15.52	$31.03	$33.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $29.43 / $46.51	Professional		$23.54	$29.43	$46.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $25.61 / $140.97	Facility		$12.25	$25.61	$140.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $51.00	Professional		$12.25	$12.25	$51.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $41.61 / $64.02	Facility		$25.01	$41.61	$64.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $45.00 / $58.82	Professional		$24.52	$45.00	$58.82
United Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $18.38 / $20.42	Facility		$9.19	$18.38	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $12.25 / $40.84	Professional		$11.64	$12.25	$40.84