Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $60.45 / $71.12	Facility		$53.34	$60.45	$71.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $71.12 / $136.80	Professional		$53.34	$71.12	$136.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.92 / $105.92 / $105.92	Professional	25	$105.92	$105.92	$105.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $122.09 / $164.56	Professional		$72.40	$122.09	$164.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $167.11 / $198.94	Professional		$142.37	$167.11	$198.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $172.97 / $363.31	Facility		$103.27	$172.97	$363.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $151.43 / $212.26	Professional		$103.84	$151.43	$212.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.10 / $151.68 / $171.29	Facility		$109.10	$151.68	$171.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $158.00 / $222.00	Professional		$96.43	$158.00	$222.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $171.82 / $212.26	Professional		$105.57	$171.82	$212.26