Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $217.46 / $217.46	Facility		$217.46	$217.46	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $217.46 / $217.46	Professional		$94.52	$217.46	$217.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.65 / $179.60 / $350.20	Facility		$137.65	$179.60	$350.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $253.68 / $413.17	Facility		$213.32	$253.68	$413.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $32.57	Professional		$32.57	$32.57	$32.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.23 / $398.97 / $410.59	Facility		$270.23	$398.97	$410.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $270.23 / $270.23 / $270.23	Professional		$270.23	$270.23	$270.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $32.57	Professional		$32.57	$32.57	$32.57