Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $33.49	Professional		$14.00	$14.00	$33.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $123.96 / $147.79	Facility		$105.37	$123.96	$147.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $67.34 / $282.47	Professional		$37.92	$67.34	$282.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $60.44 / $92.70	Professional		$12.00	$60.44	$92.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $15.55 / $36.51	Facility		$14.00	$15.55	$36.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $85.18 / $222.35	Professional		$65.68	$85.18	$222.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $61.35	Facility		$52.17	$52.17	$61.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $52.17 / $92.70	Professional		$52.17	$52.17	$92.70
United Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $82.10 / $101.39	Professional		$65.68	$82.10	$101.39