Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $53.70	Facility		$21.88	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $61.66	Professional		$21.88	$25.70	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $371.54	Facility		$147.91	$194.98	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $50.12	Professional		$21.88	$36.31	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $67.61	Professional		$30.20	$47.86	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $64.57	Facility		$19.05	$35.48	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $204.17	Professional		$28.18	$45.71	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $60.26	Professional		$46.77	$52.48	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $57.54	Professional		$30.90	$41.69	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $218.78	Facility		$158.49	$169.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $56.23	Professional		$25.70	$40.74	$56.23