Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $113.79 / $188.29	Facility		$47.87	$113.79	$188.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.89 / $234.89 / $234.89	Professional		$234.89	$234.89	$234.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $353.69 / $689.68	Facility		$271.08	$353.69	$689.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $55.53 / $59.90	Professional		$27.76	$55.53	$59.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $52.66 / $83.23	Professional		$32.79	$52.66	$83.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $45.81 / $173.52	Facility		$21.92	$45.81	$173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $21.92 / $64.39	Professional		$15.34	$21.92	$64.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $51.14 / $93.52	Facility		$32.79	$51.14	$93.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $61.29 / $95.34	Professional		$34.47	$61.29	$95.34
United Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $21.92 / $40.18	Professional		$16.44	$21.92	$40.18