Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $187.04 / $187.04	Facility		$164.60	$187.04	$187.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $164.60 / $248.80	Professional		$121.96	$164.60	$248.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.08 / $190.59 / $371.64	Facility		$146.08	$190.59	$371.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $175.41 / $188.44	Professional		$150.75	$175.41	$188.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.01 / $312.74 / $675.45	Facility		$175.01	$312.74	$675.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $172.37 / $188.04	Professional		$156.69	$172.37	$188.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.71 / $176.06 / $176.06	Facility		$147.71	$176.06	$176.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $176.06 / $176.06	Professional		$176.06	$176.06	$176.06
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $172.37 / $187.09	Professional		$156.69	$172.37	$187.09