Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $19.89 / $128.25	Facility		$18.57	$19.89	$128.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $18.57	Professional		$18.57	$18.57	$18.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.65 / $539.71 / $1,052.39	Facility		$413.65	$539.71	$1,052.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $41.10 / $41.53	Professional		$29.44	$41.10	$41.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $42.43 / $60.89	Professional		$20.28	$42.43	$60.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $135.63 / $253.68	Facility		$18.57	$135.63	$253.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $17.91 / $58.15	Professional		$10.79	$17.91	$58.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $54.72 / $114.09	Facility		$20.28	$54.72	$114.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $54.72 / $85.61	Professional		$35.44	$54.72	$85.61
United Facility/Professional Facility Modifier Low / Median / High Price $152.32 / $152.32 / $173.68	Facility		$152.32	$152.32	$173.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $17.91 / $58.15	Professional		$10.79	$17.91	$58.15