Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $64.88 / $75.40	Facility		$64.88	$64.88	$75.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $75.40 / $109.87	Professional		$64.88	$75.40	$109.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $148.72 / $287.66	Facility		$113.07	$148.72	$287.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $108.37 / $149.66	Professional		$63.57	$108.37	$149.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $158.03 / $190.49	Professional		$100.60	$158.03	$190.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $107.05 / $183.75	Facility		$64.09	$107.05	$183.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $162.77 / $434.29	Professional		$128.78	$162.77	$434.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.04 / $162.77 / $204.56	Facility		$140.04	$162.77	$204.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $161.97 / $204.56	Professional		$124.34	$161.97	$204.56
United Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $174.49 / $197.85	Professional		$128.78	$174.49	$197.85