Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $165.96	Facility		$75.86	$123.03	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $114.82	Professional		$64.57	$77.62	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $295.12	Facility		$112.20	$147.91	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $151.36	Professional		$61.66	$104.71	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $186.21	Professional		$72.44	$141.25	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $181.97	Facility		$64.57	$102.33	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $512.86	Professional		$123.03	$169.82	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $194.98	Professional		$125.89	$162.18	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $194.98	Professional		$102.33	$151.36	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $52.48 / $52.48	Facility		$46.77	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $190.55	Professional		$100.00	$144.54	$190.55