Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $66.09 / $124.50	Facility		$49.15	$66.09	$124.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $63.60 / $142.87	Professional		$49.15	$63.60	$142.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.72 / $69.72 / $69.72	Professional	25	$69.72	$69.72	$69.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $113.40 / $152.09	Professional		$66.92	$113.40	$152.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $132.63 / $165.79	Professional		$127.53	$132.63	$165.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.29 / $147.06 / $336.07	Facility		$88.29	$147.06	$336.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $115.43 / $165.79	Professional		$79.15	$115.43	$165.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $130.72 / $140.88	Facility		$82.21	$130.72	$140.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $130.72 / $169.14	Professional		$82.21	$130.72	$169.14
United Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $128.62 / $165.79	Professional		$80.47	$128.62	$165.79