Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $273.45 / $273.45	Facility		$273.45	$273.45	$273.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $273.45 / $273.45	Professional		$273.45	$273.45	$273.45
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 / $273.45 / $519.55	Facility		$213.32	$273.45	$519.55
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 $270.23 / $405.96 / $417.79	Facility		$270.23	$405.96	$417.79
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 Facility Modifier Low / Median / High Price $297.45 / $297.45 / $329.06	Facility		$297.45	$297.45	$329.06
United Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $110.21 / $110.21	Professional		$110.21	$110.21	$110.21