Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $95.50	Professional		$41.69	$70.79	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $275.42	Facility		$70.79	$70.79	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $154.88	Professional		$67.61	$109.65	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $123.03 / $218.78	Professional		$33.11	$123.03	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $125.89	Facility		$28.84	$70.79	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $95.50 / $177.83	Professional		$35.48	$95.50	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $177.83	Professional		$97.72	$141.25	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $177.83	Professional		$147.91	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $158.49	Professional		$43.65	$91.20	$158.49