Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $93.33 / $288.40	Facility		$45.71	$93.33	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $229.09	Professional		$22.91	$30.20	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $251.19	Facility		$79.43	$104.71	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $57.54	Professional		$50.12	$54.95	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $69.18 / $83.18	Professional		$29.51	$69.18	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $91.20 / $208.93	Facility		$20.89	$91.20	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $363.08	Professional		$14.79	$20.89	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $89.13	Professional		$72.44	$89.13	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $70.79	Facility		$14.79	$33.11	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $70.79	Professional		$19.95	$20.89	$70.79