Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
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 $94.96 / $180.42 / $285.48	Facility		$94.96	$180.42	$285.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $110.21 / $110.21	Professional		$110.21	$110.21	$110.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.21 / $380.16 / $391.24	Facility		$252.21	$380.16	$391.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.21 / $252.21 / $252.21	Professional		$252.21	$252.21	$252.21
United Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $110.21 / $110.21	Professional		$110.21	$110.21	$110.21