Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $141.25	Facility		$128.82	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $177.83	Professional		$95.50	$134.90	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $162.18	Professional		$154.88	$158.49	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $302.00	Facility		$169.82	$223.87	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $302.00	Professional		$147.91	$181.97	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $380.19	Facility		$128.82	$234.42	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $380.19	Professional		$173.78	$346.74	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $338.84	Professional		$263.03	$263.03	$338.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $309.03	Facility		$169.82	$208.93	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $398.11	Professional		$338.84	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $457.09	Facility		$173.78	$288.40	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78