Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $109.04 / $297.60	Facility		$29.80	$109.04	$297.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.21 / $23.38	Professional		$16.78	$23.21	$23.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $65.06 / $126.86	Facility		$49.86	$65.06	$126.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $39.22 / $42.32	Professional		$19.62	$39.22	$42.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $209.00 / $209.00	Facility		$209.00	$209.00	$209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $37.17 / $58.75	Professional		$29.74	$37.17	$58.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $51.16 / $194.88	Facility		$15.49	$51.16	$194.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $64.00	Professional		$15.49	$15.49	$64.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $52.57 / $80.91	Facility		$31.61	$52.57	$80.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $57.00 / $74.34	Professional		$31.00	$57.00	$74.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $15.49 / $28.39	Professional		$14.71	$15.49	$28.39