Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $96.03 / $96.03	Facility		$96.03	$96.03	$96.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $96.03 / $139.88	Professional		$96.03	$96.03	$139.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $222.61 / $430.60	Facility		$169.25	$222.61	$430.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $159.50 / $217.03	Professional		$95.50	$159.50	$217.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $211.11 / $251.40	Professional		$147.66	$211.11	$251.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $162.29 / $499.63	Facility		$86.43	$162.29	$499.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $192.01 / $626.73	Professional		$146.51	$192.01	$626.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $192.09 / $251.72	Facility		$147.66	$192.09	$251.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $197.51 / $257.17	Professional		$147.66	$197.51	$257.17
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 $151.62 / $200.35 / $246.51	Professional		$151.62	$200.35	$246.51