Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.54 / $167.54 / $308.24	Facility		$167.54	$167.54	$308.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $167.54 / $213.47	Professional		$89.71	$167.54	$213.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.61 / $808.24 / $1,266.95	Facility		$624.61	$808.24	$1,266.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $245.80 / $343.17	Professional		$150.99	$245.80	$343.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.97 / $353.87 / $425.50	Professional		$338.97	$353.87	$425.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.34 / $276.44 / $545.45	Facility		$141.34	$276.44	$545.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.22 / $425.13 / $1,125.58	Professional		$192.22	$425.13	$1,125.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.97 / $353.87 / $439.96	Facility		$338.97	$353.87	$439.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.97 / $415.01 / $528.21	Professional		$338.97	$415.01	$528.21
United Facility/Professional Professional Modifier Low / Median / High Price $225.26 / $437.27 / $573.79	Professional		$225.26	$437.27	$573.79