Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $36.18	Facility		$24.95	$24.95	$36.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $41.87	Professional		$24.95	$24.95	$41.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.69 / $342.44 / $696.83	Facility		$272.69	$342.44	$696.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $20.21 / $20.42	Professional		$19.39	$20.21	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $27.68 / $30.94	Professional		$24.75	$27.68	$30.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $102.96 / $102.96	Facility		$47.41	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $32.29 / $35.22	Professional		$29.35	$32.29	$35.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $39.02 / $42.07	Facility		$31.36	$39.02	$42.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $39.89 / $52.33	Professional		$30.31	$39.89	$52.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $32.29 / $34.63	Professional		$29.35	$32.29	$34.63