Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $251.19	Facility		$58.88	$85.11	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $194.98	Professional		$19.05	$23.99	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $204.17	Facility		$79.43	$104.71	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $47.86	Professional		$42.66	$45.71	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $56.23 / $69.18	Professional		$17.38	$56.23	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $45.71 / $138.04	Facility		$17.38	$45.71	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $81.28	Professional		$12.30	$17.38	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $74.13	Professional		$60.26	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $27.54 / $58.88	Facility		$12.30	$27.54	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $29.51	Professional		$16.60	$17.38	$29.51