Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $288.40 / $537.03	Facility		$199.53	$288.40	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $724.44	Professional		$72.44	$95.50	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $691.83	Facility		$269.15	$354.81	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $177.83	Professional		$87.10	$165.96	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $263.03	Professional		$97.72	$208.93	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $131.83 / $524.81	Facility		$66.07	$131.83	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $120.23	Professional		$41.69	$66.07	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $223.87 / $281.84	Professional		$97.72	$223.87	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $165.96	Facility		$48.98	$97.72	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $120.23	Professional		$45.71	$66.07	$120.23