Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $987.50	Professional		$10.58	$10.58	$987.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.65 / $179.60 / $350.20	Facility		$137.65	$179.60	$350.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.92 / $557.84 / $601.88	Professional		$278.92	$557.84	$601.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $323.14 / $403.92	Professional		$204.44	$323.14	$403.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $20.10 / $285.48	Facility		$10.58	$20.10	$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 $480.40 / $710.02 / $730.70	Facility		$480.40	$710.02	$730.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Professional		$480.40	$480.40	$480.40
United Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $110.21 / $110.21	Professional		$110.21	$110.21	$110.21