Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $426.58	Facility		$95.50	$144.54	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $316.23	Professional		$30.90	$37.15	$316.23
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 $69.18 / $75.86 / $79.43	Professional		$69.18	$75.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $93.33 / $114.82	Professional		$29.51	$93.33	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $69.18 / $229.09	Facility		$28.84	$69.18	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $288.40	Professional		$20.42	$28.84	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $123.03	Professional		$100.00	$123.03	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $45.71 / $95.50	Facility		$20.42	$45.71	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $72.44	Professional		$27.54	$28.84	$72.44