Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $23.30 / $23.30	Facility		$23.30	$23.30	$23.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $23.30 / $231.32	Professional		$23.30	$23.30	$231.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.78 / $435.06 / $841.55	Facility		$330.78	$435.06	$841.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $37.82 / $50.93	Professional		$22.41	$37.82	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $61.94 / $101.54	Professional		$46.70	$61.94	$101.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $75.02 / $4,447.20	Facility		$29.71	$75.02	$4,447.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $84.36 / $119.99	Professional		$54.83	$84.36	$119.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $86.25 / $111.66	Facility		$46.70	$86.25	$111.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $86.67 / $111.66	Professional		$53.25	$86.67	$111.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,775.00 / $4,406.00	Facility		$1,031.00	$1,775.00	$4,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $90.18 / $104.48	Professional		$54.83	$90.18	$104.48